Life Essentials Health Solutions Llc | |
1501 N Highway 17 Unit H Mount Pleasant SC 29464-3342 | |
(843) 284-8410 | |
(843) 606-2528 |
Full Name | Life Essentials Health Solutions Llc |
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Speciality | General Practice |
Location | 1501 N Highway 17 Unit H, Mount Pleasant, South Carolina |
Authorized Official Name and Position | Brian Class (OWNER) |
Authorized Official Contact | 8432848410 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Life Essentials Health Solutions Llc 1501 N Highway 17 Unit H Mount Pleasant SC 29464-3342 Ph: (843) 284-8410 | Life Essentials Health Solutions Llc 1501 N Highway 17 Unit H Mount Pleasant SC 29464-3342 Ph: (843) 284-8410 |
NPI Number | 1033951629 |
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Provider Enumeration Date | 06/12/2024 |
Last Update Date | 06/14/2024 |
Medicare PECOS PAC ID | 0840737813 |
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Medicare Enrollment ID | O20240808000534 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033951629 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | (* (Not Available)) | Primary |
Provider Name | Martha C Pagnillo |
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Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1932492345 PECOS PAC ID: 3678750858 Enrollment ID: I20240814001949 |
Sports Medicine & Orthopaedic Centers, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1230 Hospital Dr, Mount Pleasant, SC 29464 Phone: 843-473-4331 Fax: 843-473-4398 | |
Life Essentials Health Center Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1501 N Highway 17 Unit H, Mount Pleasant, SC 29464 Phone: 843-284-8410 | |