Provider Demographics
NPI:1467205468
Name:4MS AND 4HIM CORP
Entity Type:Organization
Organization Name:4MS AND 4HIM CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LETITIA
Authorized Official - Middle Name:D
Authorized Official - Last Name:MULLIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-417-3674
Mailing Address - Street 1:3295 MT HOLLY RD
Mailing Address - Street 2:
Mailing Address - City:EDGEMOOR
Mailing Address - State:SC
Mailing Address - Zip Code:29712-9621
Mailing Address - Country:US
Mailing Address - Phone:839-274-3001
Mailing Address - Fax:839-274-3002
Practice Address - Street 1:3295 MT HOLLY RD
Practice Address - Street 2:
Practice Address - City:EDGEMOOR
Practice Address - State:SC
Practice Address - Zip Code:29712-9621
Practice Address - Country:US
Practice Address - Phone:839-274-3001
Practice Address - Fax:839-274-3002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-09
Last Update Date:2024-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health
No385H00000XRespite Care FacilityRespite Care