Organization
LORIS / CONWAY HEALTHCARE SERVICES
Active
Other names
Alliance Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA L RUSSELL RN (EXECUTIVE DIRECTOR)
(843) 347-5899
Entity
Organization
Contact information
Practice address
176 WACCAMAW MEDICAL PARK CT, CONWAY, SC 29526-8965
(843) 347-5899
(843) 357-5885
Mailing address
176 WACCAMAW MEDICAL PARK CT, CONWAY, SC 29526-8965
(843) 347-5899
(843) 357-5885
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HHA-155
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
471127
—
SC
Enumeration date
09/29/2005
Last updated
08/22/2020
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