Organization
TRI-CITY DIABETIC HOMECARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD BRADSHAW (OWNER)
(843) 266-0027
Entity
Organization
Contact information
Practice address
2178A SAVANNAH HWY, SUITE G, CHARLESTON, SC 29414-5345
(843) 266-0027
(843) 266-0030
Mailing address
2178A SAVANNAH HWY, CHARLESTON, SC 29414-5345
(843) 266-0027
(843) 266-0030
Taxonomy
Speciality
Code
Description
License number
State
332BN1400X
Nursing Facility Supplies (DME)
Primary
—
—
Other
Enumeration date
08/25/2007
Last updated
10/16/2007
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