Organization
THE SHEPHERD'S HOUSE OF TENDER CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOYCE DAVIS LPN (OWNER)
(803) 398-7982
Entity
Organization
Contact information
Practice address
103 HOLLY ST E, HAMPTON, SC 29924-3913
(803) 398-7982
Mailing address
PO BOX 14, HAMPTON, SC 29924-0014
(803) 398-7982
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
253Z00000X
—
SC
Enumeration date
10/13/2017
Last updated
06/16/2018
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