DOMONIQUE W BASS

COLUMBIA, SC
NPI1437942380
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy251E00000X Home Health
Additional Taxonomies385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities
251S00000X Community/Behavioral Health
261QD1600X Clinic/Center Developmental Disabilities
261QH0100X Clinic/Center Health Service
Enumeration Date2025-05-23
Last Update Date2025-05-23
Business Address
MS. DOMONIQUE W BASS
1101 FIRST STREET SOUTH EXT STE D
COLUMBIA, SC 29209-3559
Phone number: 803-446-3209
Mailing Address
MS. DOMONIQUE W BASS
1101 FIRST STREET SOUTH EXT STE D
COLUMBIA, SC 29209-3559
Phone number: 803-446-3209