Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Hospice Care, Community Based |
251G00000X | B4[14] | Hospice |
| NPI Number | 1578098190 |
| LBN Legal business name | EDISTO HOME CARE & HOSPICE, LLC |
| Authorized official | KEVIN JACKSON - (VICE PRESIDENT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 04/21/2017 |
| Last updated | 04/21/2017 - About 9 years ago |
| Identifiers | n/a |
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