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MICHAEL WALLACE
In Home Supportive Care Agency
NPI: 1558139428Individual
Specialties, Licenses & Credentials
In Home Supportive Care AgencyPrimary
In Home Supportive Care
Code: 253Z00000X
IHCP-2020(SC)
Contact & Hours
- Address
- 1314 N MAIN ST
FOUNTAIN INN, SC 29644 - Phone
- (864) 688-2018
Quick Facts
- NPI
- 1558139428
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Not confirmed
- Specialties
- 1
- Locations
- 1
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