Individual
MARY LURETTA MCCULLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 PINEWOOD ST, LADSON, SC 29456-4921
(843) 530-8126
Mailing address
200 PINEWOOD ST, 200 PINEWOOD ST, LADSON, SC 29456-4921
(843) 212-0031
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
SC
Other
Enumeration date
11/25/2025
Last updated
12/03/2025
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