Organization Name: | MOBILE MEDICAL CARE, INC. |
NPI Number: | 1902947872 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RAYMOND G. TILLER (CFO, VICE PRESIDENT) |
Mailing Address: | 210 South Nichols Street Nichols |
State: | SC US |
Postal Code: | 295810392 |
Phone Number: | 8435261186 |
Fax Number: | 8435261389 |
NPI Enumeration Date: | 02/12/2007 |
NPI Last Update Date: | 02/25/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | HPC104 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | SC |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |