Provider Demographics
NPI:1831134998
Name:PERSONAL CARE OF SUMTER INC
Entity Type:Organization
Organization Name:PERSONAL CARE OF SUMTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:MILLER
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-469-5440
Mailing Address - Street 1:1150 BROAD ST
Mailing Address - Street 2:#8 PO BOX 603
Mailing Address - City:SUMTER
Mailing Address - State:SC
Mailing Address - Zip Code:29150-1997
Mailing Address - Country:US
Mailing Address - Phone:803-469-5440
Mailing Address - Fax:803-469-5449
Practice Address - Street 1:1150 BROAD ST
Practice Address - Street 2:SUITE 8
Practice Address - City:SUMTER
Practice Address - State:SC
Practice Address - Zip Code:29150-1997
Practice Address - Country:US
Practice Address - Phone:803-469-5440
Practice Address - Fax:803-469-5449
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health