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Keisha Lyn Castimore
Home Health Agency in Surfside Beach, South Carolina
NPI 1861110025

Keisha Lyn Castimore is a Home Health Agency based in Surfside Beach, SC. Keisha Lyn Castimore practices in Surfside Beach, SC. The NPI Number for Keisha Lyn Castimore is 1861110025 and holds a License No. (South Carolina).

The current practice location address for Keisha Lyn Castimore is 1413 Highway 17 S # 139, Surfside Beach, SC and can be reached out via phone at 910-682-4655.

Location: 1413 Highway 17 S # 139, Surfside Beach, SC, 29575-6040
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861110025
Provider Name
Keisha Lyn Castimore
Credential
Provider Entity Type
Individual
Gender
Female
Address
1413 Highway 17 S # 139, Surfside Beach, SC, 29575-6040
Phone Number
910-682-4655
Fax Number
Provider Enumeration Date
08/15/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1413 Highway 17 S # 139
City
Surfside Beach
State
South Carolina
Zip
29575-6040
Phone Number
910-682-4655
Fax Number
person
Provider Business Mailing Address Details
Address
1413 Highway 17 S # 139
City
Surfside Beach
State
South Carolina
Zip
29575-6040
Phone Number
910-682-4655
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
(South Carolina)
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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