Provider Demographics
NPI:1326106162
Name:PEE DEE HEALTH CARE, INC.
Entity Type:Organization
Organization Name:PEE DEE HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATION
Authorized Official - Prefix:MISS
Authorized Official - First Name:ASHLI
Authorized Official - Middle Name:N
Authorized Official - Last Name:MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-774-6695
Mailing Address - Street 1:100 E MADISON ST
Mailing Address - Street 2:
Mailing Address - City:DILLON
Mailing Address - State:SC
Mailing Address - Zip Code:29536-2466
Mailing Address - Country:US
Mailing Address - Phone:843-774-6695
Mailing Address - Fax:843-774-8012
Practice Address - Street 1:100 E MADISON ST
Practice Address - Street 2:
Practice Address - City:DILLON
Practice Address - State:SC
Practice Address - Zip Code:29536-2466
Practice Address - Country:US
Practice Address - Phone:843-774-6695
Practice Address - Fax:843-774-8012
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCEX0554251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health