NPI 1669086112

Dahyojendayi L Fullwood

Practitioner In Home Supportive Care Agency North Charleston, SC

Practice location

Address: 3236 Landmark Dr STE 121, North Charleston, SC 29418-8490
Phone: (866) 491-1636
Fax: (843) 737-4896
Mailing address: 7620 Rivers Ave Suite 370 Pmb#155, North Charleston, SC 29406-5008

Registered specialties (6)

In Home Supportive Care Agency Primary

Agencies Taxonomy 253Z00000X Licence IHCP-1297 (SC)

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Adult Companion

Nursing Service Related Providers Taxonomy 372600000X Licence IHCP-1297 (SC)

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Day Training/Habilitation Specialist

Nursing Service Related Providers Taxonomy 373H00000X Licence IHCP-1297 (SC)

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Home Health Aide

Nursing Service Related Providers Taxonomy 374U00000X Licence IHCP-1297 (SC)

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Nurse's Aide

Nursing Service Related Providers Taxonomy 376K00000X Licence IHCP-1297 (SC)

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Respite Care

Respite Care Facility Taxonomy 385H00000X Licence IHCP-1297 (SC)

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Registry record

NPI: 1669086112
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Sep 2020
Record last updated: 2 Sep 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.