My Nana's House, LLC
NPI #1215715263 in Clemson, South Carolina
Provider Information
- NPI Number
- 1215715263
- Entity Type
- Organization
- Organization Name
- My Nana's House, LLC
- Primary Specialty
- Home Health
- Enumeration Date
- Sep 20, 2023
- Last Updated
- Sep 20, 2023
Practice Location
- Address
- 201 WEST LN APT 606
- City
- Clemson
- State
- South Carolina
- ZIP Code
- 29631-1298
- Phone
- (864) 207-0952
Authorized Official
- Name
- ZELMA IZLAR
- Title
- HEALTH CARE PROFESSIONAL
- Phone
- (868) 642-0709
Specialties & Taxonomy Codes
| Specialty |
|---|
| Home Health |
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