Provider Demographics
NPI:1942733910
Name:CIRCLE OF LIFE HOME HEALTH CARE
Entity Type:Organization
Organization Name:CIRCLE OF LIFE HOME HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MEEK
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:MAH
Authorized Official - Phone:404-667-5073
Mailing Address - Street 1:259 ALELIA LN
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29229-9577
Mailing Address - Country:US
Mailing Address - Phone:404-667-5073
Mailing Address - Fax:
Practice Address - Street 1:259 ALELIA LN
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29229-9577
Practice Address - Country:US
Practice Address - Phone:404-667-5073
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-06
Last Update Date:2017-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302F00000XManaged Care OrganizationsExclusive Provider Organization