National Provider Identifier Database

EDISTO HOME CARE HOSPICE LLC
Hospice Care, Community Based


Contact Information

EDISTO HOME CARE & HOSPICE, LLC
1180 BOULEVARD ST
SUITE C
ORANGEBURG, SC29115
Phone: 803-997-2882
Fax: 803-997-2880
Website:
Specialty Taxonomy Code
* Hospice Care, Community Based 251G00000X

* Indicates primary specialty

NPI Profile & details for EDISTO HOME CARE & HOSPICE, LLC

NPI Number 1578098190
Legal business name
LBN
EDISTO HOME CARE & HOSPICE, LLC
Authorized official KEVIN JACKSON - (VICE PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 04/21/2017
Last updated 04/21/2017 - About 9 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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