| Organization Name: | ADDUS HEALTHCARE (SOUTH CAROLINA), INC. |
| NPI Number: | 1144533654 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DIANE KUMARICH (NATIONAL CONTRACTS) |
| Mailing Address: | 3294 Ashley Phosphate Rd Ste F C N Charleston |
| State: | SC US |
| Postal Code: | 29418 |
| Phone Number: | 8662846331 |
| Fax Number: | 8435690062 |
| NPI Enumeration Date: | 07/26/2010 |
| NPI Last Update Date: | 12/04/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |