Provider Demographics
NPI:1043583693
Name:ABC CARE (A BETTER CHOICE OF CARE)
Entity Type:Organization
Organization Name:ABC CARE (A BETTER CHOICE OF CARE)
Other - Org Name:HOME HEALTH
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:THERESA
Authorized Official - Middle Name:M
Authorized Official - Last Name:CORPUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-817-0247
Mailing Address - Street 1:102 FRISTON CT
Mailing Address - Street 2:
Mailing Address - City:GOOSE CREEK
Mailing Address - State:SC
Mailing Address - Zip Code:29445-7068
Mailing Address - Country:US
Mailing Address - Phone:843-817-0247
Mailing Address - Fax:
Practice Address - Street 1:102 FRISTON CT
Practice Address - Street 2:
Practice Address - City:GOOSE CREEK
Practice Address - State:SC
Practice Address - Zip Code:29445-7068
Practice Address - Country:US
Practice Address - Phone:843-817-0247
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-13
Last Update Date:2012-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child