Individual provider · Type 1 NPI
Mamie Duck
Nursing Care Agency · Sumter, SC
NPI number
1104474238
Active
Practice location
207A N Washington St
Sumter, SC 29150-4204
Fax (803) 938-5443
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 004399 (SC) |
| Nursing Care Agency Primary | 251J00000X | None listed |
Nursing Care Agency: A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services.
About NPI 1104474238
Mamie Duck's National Provider Identifier is 1104474238, issued on Sep 2, 2019. The primary taxonomy on file is Nursing Care Agency (251J00000X), and the practice location is in Sumter, SC. The record was last updated on Oct 13, 2022.