Organization
STATE OF SOUTH CAROLINA
Active
Other names
SC DHEC Pee Dee Home Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEE A KIRKPATRICK LMSW (DIRECTOR/HOME HEALTH ADMINISTRATOR)
(803) 576-2916
Entity
Organization
Contact information
Practice address
1705 W EVANS ST, FLORENCE, SC 29501-3331
(843) 661-4762
(843) 661-4790
Mailing address
1705 W EVANS ST, FLORENCE, SC 29501-3331
(843) 661-4762
(843) 661-4790
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HHA-009
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
153550
UNISON HEALTH PLAN OF SC
SC
01
—
20021671
SELECT HEALTH PROVIDER
SC
05
—
395450
—
SC
Enumeration date
07/18/2006
Last updated
07/11/2013
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