Provider Demographics
NPI:1083027239
Name:DUPREE MOBILE HEALTH CARE SERVICE
Entity type:Organization
Organization Name:DUPREE MOBILE HEALTH CARE SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:864-325-4126
Mailing Address - Street 1:1 CHICK SPRINGS RD
Mailing Address - Street 2:SUITE 218E
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29609-4946
Mailing Address - Country:US
Mailing Address - Phone:864-520-2040
Mailing Address - Fax:864-520-2041
Practice Address - Street 1:1 CHICK SPRINGS RD
Practice Address - Street 2:SUITE 218E
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29609-4946
Practice Address - Country:US
Practice Address - Phone:864-520-2040
Practice Address - Fax:864-520-2041
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-05
Last Update Date:2014-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care