Provider Demographics
NPI:1336523075
Name:HOMECARE SOLUTIONS SC
Entity Type:Organization
Organization Name:HOMECARE SOLUTIONS SC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:ANITA
Authorized Official - Middle Name:WICKER
Authorized Official - Last Name:FULMER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-996-2186
Mailing Address - Street 1:612 SAINT ANDREWS RD STE 4
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29210-5120
Mailing Address - Country:US
Mailing Address - Phone:803-996-2186
Mailing Address - Fax:803-451-5259
Practice Address - Street 1:612 SAINT ANDREWS RD STE 4
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29210-5120
Practice Address - Country:US
Practice Address - Phone:803-996-2186
Practice Address - Fax:803-451-5259
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-13
Last Update Date:2015-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care