Rescare Homecare | |
430 Herlong Ave S Ste 102 Rock Hill SC 29732-1094 | |
(803) 324-7707 | |
Not Available |
Full Name | Rescare Homecare |
---|---|
Speciality | Community/behavioral Health |
Location | 430 Herlong Ave S Ste 102, Rock Hill, South Carolina |
Authorized Official Name and Position | Angie Mattingly (MANAGER-PROVIDER ENROLLMENT) |
Authorized Official Contact | 5026307425 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Rescare Homecare 805 N Whittington Pkwy Louisville KY 40222-5186 Ph: (800) 866-0860 | Rescare Homecare 430 Herlong Ave S Ste 102 Rock Hill SC 29732-1094 Ph: (803) 324-7707 |
NPI Number | 1295064608 |
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Provider Enumeration Date | 12/14/2009 |
Last Update Date | 03/04/2020 |
Certification Date | 03/04/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1295064608 | NPI | - | NPPES |
EX0694 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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