| On Site Care Llc | |
|
1380 Ebenezer Rd Ste E Rock Hill SC 29732-2349 | |
| (803) 324-2273 | |
| (803) 902-8078 |
| Full Name | On Site Care Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1380 Ebenezer Rd Ste E, Rock Hill, South Carolina |
| Authorized Official Name and Position | Jesslyn Anika Anderson (CEO/PRESIDENT) |
| Authorized Official Contact | 8033242273 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| On Site Care Llc 4684 Janay Ct Rock Hill SC 29732-8343 Ph: (803) 389-8675 | On Site Care Llc 1380 Ebenezer Rd Ste E Rock Hill SC 29732-2349 Ph: (803) 324-2273 |
| NPI Number | 1639686827 |
|---|---|
| Provider Enumeration Date | 01/09/2018 |
| Last Update Date | 03/28/2024 |
| Certification Date | 03/28/2024 |
| Medicare PECOS PAC ID | 6103170451 |
|---|---|
| Medicare Enrollment ID | O20181126003114 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639686827 | NPI | - | NPPES |
| Provider Name | Jesslyn A Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649677030 PECOS PAC ID: 3779807425 Enrollment ID: I20151214002287 |
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