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Individual

PHYLICIA ALLEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CNA, HHA

Contact information

Practice address
5509 RUFFIN RD, RUFFIN, SC 29475-5180
(843) 635-0427
Mailing address
5509 RUFFIN RD, RUFFIN, SC 29475-5180
(843) 635-0427

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
10093238
SC

Other

Enumeration date
12/02/2025
Last updated
12/02/2025
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