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Organization

AFFIRMATIVE HOME CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TIFFANY MICKENS (DIRECTOR)
(803) 807-9890
Entity
Organization

Contact information

Practice address
9890 WINDSOR LAKE BLVD STE A, COLUMBIA, SC 29223-2028
(803) 807-9890
(803) 708-9293
Mailing address
9890 WINDSOR LAKE BLVD STE A, COLUMBIA, SC 29223-2028
(803) 807-9890
(803) 708-9293

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Enumeration date
11/08/2022
Last updated
11/08/2022
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