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Organization

TERESA SHIVERS

Active
Other names
TERESA SHIVERS
Organization subpart
No

Provider details

NPI number
Authorized official
TERESA SHIVERS (CEO)
(803) 707-7016
Entity
Organization

Contact information

Practice address
126 FOLK ST UNIT 17, BRANCHVILLE, SC 29432-2346
(803) 707-7016
Mailing address
126 FOLK ST UNIT 17, BRANCHVILLE, SC 29432-2346
(803) 707-7016

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
253Z00000X
In Home Supportive Care Agency
343900000X
Non-emergency Medical Transport (VAN)
364SH0200X
Home Health Clinical Nurse Specialist
385H00000X
Respite Care

Other

Enumeration date
05/02/2024
Last updated
05/02/2024
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