| Home Medix Llc | |
|
1302 Sunset Blvd West Columbia SC 29169-5914 | |
| (803) 791-7043 | |
| (803) 796-1519 |
| Full Name | Home Medix Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 1302 Sunset Blvd, West Columbia, South Carolina |
| Authorized Official Name and Position | Lynn Elton Connelly (OWNER/AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 8037917043 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Home Medix Llc 1302 Sunset Blvd West Columbia SC 29169-5914 Ph: (803) 791-7043 | Home Medix Llc 1302 Sunset Blvd West Columbia SC 29169-5914 Ph: (803) 791-7043 |
| NPI Number | 1780319293 |
|---|---|
| Provider Enumeration Date | 07/19/2022 |
| Last Update Date | 07/19/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780319293 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
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Senior Health Associates, Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2858 Sunset Blvd, West Columbia, SC 29169 Phone: 803-699-9073 Fax: 866-527-0937 | |
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