Individual
KEISHA LYN CASTIMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1413 HIGHWAY 17 S # 139, SURFSIDE BEACH, SC 29575-6040
(910) 682-4655
Mailing address
1413 HIGHWAY 17 S # 139, SURFSIDE BEACH, SC 29575-6040
(910) 682-4655
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
SC
Other
Enumeration date
08/15/2022
Last updated
08/15/2022
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