Organization
HOME THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN YVONNE SIDERS CRT (OWNER)
(843) 275-3100
Entity
Organization
Contact information
Practice address
2126 E HWY 9, PARKWAY PLAZA CENTER BLDG G STE 4, LONGS, SC 29568
(843) 399-7002
(843) 399-7045
Mailing address
PO BOX 779, LONGS, SC 29568
(843) 399-7002
(843) 399-7045
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/26/2007
Last updated
06/27/2008
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