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Michael Wallace
In Home Supportive Care Agency in Fountain Inn, South Carolina
NPI 1558139428

Michael Wallace is a In Home Supportive Care Agency based in Simpsonville, SC. Michael Wallace practices in Fountain Inn, SC. The NPI Number for Michael Wallace is 1558139428 and holds a License No. IHCP-2020 (South Carolina).

The current practice location address for Michael Wallace is 1314 N Main St, Fountain Inn, SC and can be reached out via phone at 864-688-2018 and via fax at 864-484-8493.

Location: 1314 N Main St, Fountain Inn, SC, 29681-6019
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558139428
Provider Name
Michael Wallace
Credential
Provider Entity Type
Individual
Gender
Male
Address
1314 N Main St, Fountain Inn, SC, 29681-6019
Phone Number
864-688-2018
Fax Number
864-484-8493
Provider Enumeration Date
12/19/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1314 N Main St
City
Fountain Inn
State
South Carolina
Zip
29644-1332
Phone Number
864-688-2018
Fax Number
864-484-8493
person
Provider Business Mailing Address Details
Address
1314 N Main St
City
Fountain Inn
State
South Carolina
Zip
29644-1332
Phone Number
864-688-2018
Fax Number
864-484-8493
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
In Home Supportive Care
Speciality
-
Taxonomy
253Z00000X
License No.
IHCP-2020 (South Carolina)
Definition
An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.
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