Provider Demographics
NPI:1417317116
Name:LOWCOUNTRY COMPANIONS
Entity Type:Organization
Organization Name:LOWCOUNTRY COMPANIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WENDY
Authorized Official - Middle Name:
Authorized Official - Last Name:WEISNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-856-2582
Mailing Address - Street 1:1459 STUART ENGALS BLVD
Mailing Address - Street 2:#203
Mailing Address - City:MOUNT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29464-3600
Mailing Address - Country:US
Mailing Address - Phone:843-856-2582
Mailing Address - Fax:843-856-2593
Practice Address - Street 1:1459 STUART ENGALS BLVD
Practice Address - Street 2:#203
Practice Address - City:MOUNT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29464-3600
Practice Address - Country:US
Practice Address - Phone:843-856-2582
Practice Address - Fax:843-856-2593
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-24
Last Update Date:2016-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC20040820253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care