Organization
REHAB PROCARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY KIPP BRASWELL (LOGISTICS MANAGER)
(803) 457-4772
Entity
Organization
Contact information
Practice address
840 SHULL ST STE 240, WEST COLUMBIA, SC 29169-6765
(803) 936-0780
(803) 936-0809
Mailing address
840 SHULL ST, SUITE 240, WEST COLUMBIA, SC 29169-6765
(803) 936-0780
(803) 936-0809
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/10/2009
Last updated
12/10/2009
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