Organization
PROFESSIONAL CARE OF MANNING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY ALICE REID (OWNER)
(803) 435-9681
Entity
Organization
Contact information
Practice address
220 WEST BOYCE ST, MANNING, SC 29102
(803) 435-4301
(803) 435-4346
Mailing address
PO BOX 285, MANNING, SC 29102-0285
(803) 435-4301
(803) 435-4346
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
EX0887
—
SC
Enumeration date
06/02/2011
Last updated
06/02/2011
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