Provider Demographics
NPI:1578216735
Name:HARLEN KASTNER ENTERPRISES
Entity Type:Organization
Organization Name:HARLEN KASTNER ENTERPRISES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:HARLEN
Authorized Official - Middle Name:
Authorized Official - Last Name:KASTNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-952-6116
Mailing Address - Street 1:204 BUTTERCUP LN
Mailing Address - Street 2:
Mailing Address - City:SUMMERVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29486-2378
Mailing Address - Country:US
Mailing Address - Phone:843-952-6116
Mailing Address - Fax:
Practice Address - Street 1:204 BUTTERCUP LN
Practice Address - Street 2:
Practice Address - City:SUMMERVILLE
Practice Address - State:SC
Practice Address - Zip Code:29486-2378
Practice Address - Country:US
Practice Address - Phone:843-952-6116
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-28
Last Update Date:2022-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC251E00000XOtherHOME HEALTH