Provider Demographics
NPI:1174849038
Name:ALLCAREGIVERS, INC.
Entity Type:Organization
Organization Name:ALLCAREGIVERS, INC.
Other - Org Name:SALUDA OFFICE
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:D
Authorized Official - Middle Name:DELORES
Authorized Official - Last Name:LOGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-951-0771
Mailing Address - Street 1:4727 SUNSET BLVD STE C
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:SC
Mailing Address - Zip Code:29072-9151
Mailing Address - Country:US
Mailing Address - Phone:803-951-0771
Mailing Address - Fax:803-951-0928
Practice Address - Street 1:115 E CHURCH ST
Practice Address - Street 2:
Practice Address - City:SALUDA
Practice Address - State:SC
Practice Address - Zip Code:29138-1401
Practice Address - Country:US
Practice Address - Phone:864-445-8474
Practice Address - Fax:864-445-3883
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ALLCAREGIVERS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-04-15
Last Update Date:2010-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCEX0206Medicaid