Organization Name: | ADDUS HEALTHCARE (SOUTH CAROLINA), INC. |
NPI Number: | 1679887145 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DIANE KUMARICH (NATIONAL CONTRACTS) |
Mailing Address: | 109 W Laurel St Florence |
State: | SC US |
Postal Code: | 295015216 |
Phone Number: | 8008156331 |
Fax Number: | 8436676771 |
NPI Enumeration Date: | 07/27/2010 |
NPI Last Update Date: | 09/20/2010 |
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: |