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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KWATERRIA MANDAJH GLOVER

Active Sole Proprietor

KWATERRIA MANDAJH GLOVER is a In Home Supportive Care Agency healthcare provider located in IRMO, South Carolina. NPI 1588175590 is currently active in the NPPES registry. Verify at CMS.

In Home Supportive Care Agency · IRMO, SC

Registration Details

NPI Number
1588175590
Provider Type
Individual
Gender
Female
NPI Issued
Oct 17, 2017 (8.8555798380679 yrs)
Last Updated
Oct 17, 2017
License
2017-53912-52801 (SC)
Sole Proprietor
Yes

Practice Information

Address
1411 RIVERWALK WAY
IRMO, SC, 290638489
Browse SC providers · Browse ZIP 29063
Phone
8035228858
Primary Specialty
In Home Supportive Care Agency
253Z00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.