Individual
NATHAN RHODES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3800 FOREST DR STE C201, COLUMBIA, SC 29204-4149
(803) 315-5769
(803) 233-2774
Mailing address
3800 FOREST DR STE C201, COLUMBIA, SC 29204-4149
(803) 315-5769
(803) 233-2774
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
IHCP-0058
SC
251E00000X
Home Health Agency
IHCP-0789
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
IHCP-0058
IN HOME CARE AGENCY LICENSE
SC
01
—
IHCP-0789
IN HOME CARE AGENCY LICENSE
SC
Enumeration date
04/22/2019
Last updated
04/22/2019
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