Organization
MARY AND MARY CAREGIVERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NHAJIYAH SIMMONS RN, BSN (RN/ OWNER)
(803) 394-0279
Entity
Organization
Contact information
Practice address
529 HUMBLE DR, COLUMBIA, SC 29223-5435
(803) 394-0279
Mailing address
529 HUMBLE DR, COLUMBIA, SC 29223-5435
(803) 394-0279
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
2013-34640-33770
SC
Other
Enumeration date
04/29/2013
Last updated
05/22/2013
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