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Deidra Shaquana Addison
Home Health Agency in Ladson, South Carolina
NPI 1215489810

Deidra Shaquana Addison is a Home Health Agency based in Ladson, SC. Deidra Shaquana Addison practices in Ladson, SC. The NPI Number for Deidra Shaquana Addison is 1215489810 and holds a License No. (South Carolina).

The current practice location address for Deidra Shaquana Addison is 409 Sparkleberry Ln, Ladson, SC and can be reached out via phone at 803-535-9268.

Location: 409 Sparkleberry Ln, Ladson, SC, 29456-3859
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215489810
Provider Name
Deidra Shaquana Addison
Credential
Provider Entity Type
Individual
Gender
Female
Address
409 Sparkleberry Ln, Ladson, SC, 29456-3859
Phone Number
803-535-9268
Fax Number
Provider Enumeration Date
10/29/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
409 Sparkleberry Ln
City
Ladson
State
South Carolina
Zip
29456-3859
Phone Number
803-535-9268
Fax Number
person
Provider Business Mailing Address Details
Address
409 Sparkleberry Ln
City
Ladson
State
South Carolina
Zip
29456-3859
Phone Number
803-535-9268
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
()
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
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