Tidelands Home Care LLC

NPI #1710464771 in Georgetown, South Carolina

Provider Information

NPI Number: 1710464771
Entity Type: Organization
Organization Name: Tidelands Home Care LLC
Primary Specialty: Homemaker
Enumeration Date: Jul 23, 2018
Last Updated: Jul 23, 2018

Practice Location

Address: 829 FRONT ST STE I
City: Georgetown
State: South Carolina
ZIP Code: 29440-3564
Phone: (732) 522-3724

Authorized Official

Name: MR. NITIN P SHAH
Title: PRESIDENT
Phone: (732) 522-3724

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Homemaker	376J00000X	Primary

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