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1801676911
EXCELLENT BLACK ROSE HOME CARE LLC
KINGSTREE, SC
NPI
1801676911
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Entity Type
Organization
Authorized Contact
SHANNON BLACK
Owner
843-382-3136
Organization Subpart ?
No
Primary Taxonomy
251E00000X Home Health
Enumeration Date
2023-10-05
Last Update Date
2023-10-05
Business Address
EXCELLENT BLACK ROSE HOME CARE LLC
7 WINCHESTER RD
KINGSTREE, SC 29556-5772
Phone number: 843-372-3136
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Mailing Address
EXCELLENT BLACK ROSE HOME CARE LLC
7 WINCHESTER RD
KINGSTREE, SC 29556-5772
Phone number:
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