Organization
PROMINENT HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATOSHA JOHNSON (CEO)
(843) 530-1946
Entity
Organization
Contact information
Practice address
3236 LANDMARK DR STE 122, NORTH CHARLESTON, SC 29418-8490
(843) 530-1946
Mailing address
746 LADYWOOD DR, SUMMERVILLE, SC 29486-7079
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
10/11/2023
Last updated
10/11/2023
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