Provider Demographics
NPI:1841427390
Name:CHRISTIAN HOME CARE LLC
Entity Type:Organization
Organization Name:CHRISTIAN HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:
Authorized Official - Last Name:HOUGH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-669-2009
Mailing Address - Street 1:1323 W EVANS ST
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29501-3323
Mailing Address - Country:US
Mailing Address - Phone:843-669-2009
Mailing Address - Fax:843-679-5757
Practice Address - Street 1:1323 W EVANS ST
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29501-3323
Practice Address - Country:US
Practice Address - Phone:843-669-2009
Practice Address - Fax:843-679-5757
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-11
Last Update Date:2009-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health