Organization Name: | SEA ISLAND COMPREHENSIVE HEALTH CARE CORPORATION |
NPI Number: | 1760415400 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAVID B RICHARDSON (ADMINISTRATOR) |
Mailing Address: | 3627 Maybank Hwy Johns Island |
State: | SC US |
Postal Code: | 294554825 |
Phone Number: | 8435594137 |
Fax Number: | 8435599925 |
NPI Enumeration Date: | 07/08/2006 |
NPI Last Update Date: | 03/16/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | EX0076 |
Healthcare Provider Taxonomy: (Secondary) | N |
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 |