Organization
CBX ONE STOP L.L.C.
Active
Other names
CAROLINA IN HOME care & Assistance
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TONY MORELAND I (PRESIDENT)
(803) 318-4276
Entity
Organization
Contact information
Practice address
2210 ROSEWOOD DR, COLUMBIA, SC 29205-3743
(803) 318-4276
(803) 782-7526
Mailing address
2210 ROSEWOOD DR, COLUMBIA, SC 29205-3743
(803) 318-4276
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
EX1144
—
SC
Enumeration date
01/21/2010
Last updated
01/23/2012
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