Provider Demographics
NPI:1982880514
Name:ALLCARE LIVING SERVICES, INC.
Entity type:Organization
Organization Name:ALLCARE LIVING SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-832-9888
Mailing Address - Street 1:1675 N MAIN ST
Mailing Address - Street 2:STE. 105-B
Mailing Address - City:SUMMERVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29483-7847
Mailing Address - Country:US
Mailing Address - Phone:843-832-9888
Mailing Address - Fax:843-832-3522
Practice Address - Street 1:1675 N MAIN ST
Practice Address - Street 2:STE. 105-B
Practice Address - City:SUMMERVILLE
Practice Address - State:SC
Practice Address - Zip Code:29483-7847
Practice Address - Country:US
Practice Address - Phone:843-832-9888
Practice Address - Fax:843-832-3522
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-14
Last Update Date:2008-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health