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Search › South Carolina › In Home Supportive Care Agency

Michael Wallace

NPI 1558139428 · on the registry since 2023 · sole proprietor

Practice

Address
1314 N Main St
Fountain Inn, SC 29644
Phone
(864) 688-2018
Fax
(864) 484-8493
Organisation at this address
Stat Home Care
360 Durable Medical Supplies & Equipment
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
In Home Supportive Care Agency
253Z00000X
Licence states on file
SC
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-12-19
Status
Not present in the most recent federal file

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina