Provider Demographics
NPI:1356739387
Name:PALMETTO FAMILY HOMECARE, LLC
Entity type:Organization
Organization Name:PALMETTO FAMILY HOMECARE, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:REGIONAL DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SYLVIA
Authorized Official - Middle Name:
Authorized Official - Last Name:STEWART
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-509-5207
Mailing Address - Street 1:4000 FABER PLACE DR
Mailing Address - Street 2:SUITE 327
Mailing Address - City:NORTH CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29405-8585
Mailing Address - Country:US
Mailing Address - Phone:843-509-5207
Mailing Address - Fax:843-323-4271
Practice Address - Street 1:4000 FABER PLACE DR
Practice Address - Street 2:SUITE 327
Practice Address - City:NORTH CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29405-8585
Practice Address - Country:US
Practice Address - Phone:843-509-5207
Practice Address - Fax:843-323-4271
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-29
Last Update Date:2014-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251B00000XAgenciesCase Management