Organization
MOBILE MEDICAL CARE, INC.
Active
Other names
Shepherd Care Hospice, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAYMOND G. TILLER CPA (CFO, VICE PRESIDENT)
(843) 526-1186
Entity
Organization
Contact information
Practice address
210 SOUTH NICHOLS STREET, NICHOLS, SC 29581-0392
(843) 526-1186
(843) 526-1389
Mailing address
P.O. BOX 392, NICHOLS, SC 29581-0392
(843) 526-1186
(843) 526-1389
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
HPC-104
SC
251G00000X
Community Based Hospice Care Agency
HPC104
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1902947872
NPI
SC
05
—
HSP082
—
SC
Enumeration date
02/12/2007
Last updated
02/25/2011
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