Organization
LEXCAREGIVERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIRGINIA A JOHNSON CNA, PT (ADMINISTRATOR DIRECTOR)
(803) 508-4979
Entity
Organization
Contact information
Practice address
32 W PINE CIRCLE, WAGENER, SC 29164
(803) 508-4979
Mailing address
32 W PINE CIRCLE, WAGENER, SC 29164
(803) 508-4979
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
09/30/2013
Last updated
10/08/2013
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