Provider Demographics
NPI:1578905220
Name:PALMETTO HUMAN RESOURCES LLC
Entity Type:Organization
Organization Name:PALMETTO HUMAN RESOURCES LLC
Other - Org Name:COMFORT KEEPERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:MALLORY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-249-9200
Mailing Address - Street 1:3009 CHURCH ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:MYRTLE BEACH
Mailing Address - State:SC
Mailing Address - Zip Code:29577-5983
Mailing Address - Country:US
Mailing Address - Phone:843-249-9200
Mailing Address - Fax:843-249-3931
Practice Address - Street 1:3009 CHURCH ST
Practice Address - Street 2:SUITE B
Practice Address - City:MYRTLE BEACH
Practice Address - State:SC
Practice Address - Zip Code:29577-5983
Practice Address - Country:US
Practice Address - Phone:843-249-9200
Practice Address - Fax:843-249-3931
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-23
Last Update Date:2013-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC3913253Z00000X
SC253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care