Klassic Black Enterprise LLC
NPI #1093516163 in Sumter, South Carolina
Provider Information
- NPI Number
- 1093516163
- Entity Type
- Organization
- Organization Name
- Klassic Black Enterprise LLC
- Primary Specialty
- In Home Supportive Care
- Enumeration Date
- Mar 24, 2025
- Last Updated
- Jun 20, 2025
Practice Location
- Address
- 698 BULTMAN DR UNIT L
- City
- Sumter
- State
- South Carolina
- ZIP Code
- 29150-2549
- Phone
- (803) 464-3424
Authorized Official
- Name
- VICTORIA CLONMELL
- Title
- OWNER
- Phone
- (803) 464-3424
Specialties & Taxonomy Codes
| Specialty |
|---|
| Home Health |
| In Home Supportive Care |
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