Organization Name: | HOME CARE OF MYRTLE BEACH |
NPI Number: | 1184071144 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | FRANK WEINSTEIN (OWNER) |
Mailing Address: | 1019 Highway 17 S Suite 121 North Myrtle Beach |
State: | SC US |
Postal Code: | 295823702 |
Phone Number: | 8432495541 |
Fax Number: | |
NPI Enumeration Date: | 05/19/2016 |
NPI Last Update Date: | 05/19/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | IHCP-0237 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Agencies |
Taxonomy Classification: | In Home Supportive Care |
Taxonomy Specialization: | |
Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |