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42D0884758 CLIA NUMBER - GEORGETOWN HOSPITAL HOME HEALTH, LLC DBA AMEDISYS HOME HEALTH CARE

Laboratory Demographics

CLIA Number: 42D0884758

Facility Name: GEORGETOWN HOSPITAL HOME HEALTH, LLC DBA AMEDISYS HOME HEALTH CARE

Facility Address:
501 N LONGSTREET STREET
KINGSTREE, SC
ZIP 29556
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Facility Phone Number: 843 355-5103

Facility Type: Home Health Agency

Certificate Type: Waiver
NPI Number: 1255399747

Taxonomy: 251E00000X - Home Health
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.

CLIA Record

Field Name Field Value
CLIA Number 42D0884758
LAB Type Home Health Agency
Facility Name GEORGETOWN HOSPITAL HOME HEALTH, LLC DBA AMEDISYS HOME HEALTH CARE
Street 501 N LONGSTREET STREET
City KINGSTREE
State SC
ZIP 29556
Phone 843 355-5103
CertificateType 4
CertificateEffectiveDate 4/11/2024
CertificateExpirationDate 4/10/2026
FacilityType Waiver

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This page was last updated on: 4/23/2024