Organization
TENDER CARE HOME HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DARRELL KENYATTA TENNIE (ADMINISTRATOR)
(843) 669-0104
Entity
Organization
Contact information
Practice address
1245 CELEBRATION BLVD, FLORENCE, SC 29501-5499
(843) 669-0104
(843) 629-0325
Mailing address
3005 VILLAGE PARK DR, SUITE 204 B, KNIGHTDALE, NC 27545-7993
(843) 669-0104
(843) 629-0325
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
EX0784
—
SC
Enumeration date
05/16/2008
Last updated
08/25/2023
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