Organization
NEW PHASE HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SONJA LORRAINE DAVIS RN (ADMINISTRATION)
(843) 494-7199
Entity
Organization
Contact information
Practice address
734 GILWAY ST UNIT B, HOLLY HILL, SC 29059
(803) 496-3290
Mailing address
PO BOX 1482, HOLLY HILL, SC 29059-1482
(803) 496-3290
(803) 496-3290
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
08/17/2021
Last updated
08/17/2021
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