Provider Demographics
NPI:1790940070
Name:SARA'S OUTPATIENT HOME HEALTH CARE. LLC
Entity Type:Organization
Organization Name:SARA'S OUTPATIENT HOME HEALTH CARE. LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JOETTA
Authorized Official - Middle Name:GWEN
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-725-2035
Mailing Address - Street 1:125 CROSSCREEK DR STE 108
Mailing Address - Street 2:
Mailing Address - City:SUMMERVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29485-8250
Mailing Address - Country:US
Mailing Address - Phone:843-725-2035
Mailing Address - Fax:843-725-2019
Practice Address - Street 1:125 CROSSCREEK DR STE 108
Practice Address - Street 2:
Practice Address - City:SUMMERVILLE
Practice Address - State:SC
Practice Address - Zip Code:29485-8250
Practice Address - Country:US
Practice Address - Phone:843-725-2035
Practice Address - Fax:843-725-2019
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-25
Last Update Date:2008-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health