| Life Essentials Health Solutions Llc | |
|
1501 N Highway 17 Unit H Mount Pleasant SC 29464-3342 | |
| (843) 284-8410 | |
| (843) 606-2528 |
| Full Name | Life Essentials Health Solutions Llc |
|---|---|
| Speciality | General Practice |
| Location | 1501 N Highway 17 Unit H, Mount Pleasant, South Carolina |
| Authorized Official Name and Position | Brian Class (OWNER) |
| Authorized Official Contact | 8432848410 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Essentials Health Solutions Llc 1501 N Highway 17 Unit H Mount Pleasant SC 29464-3342 Ph: (843) 284-8410 | Life Essentials Health Solutions Llc 1501 N Highway 17 Unit H Mount Pleasant SC 29464-3342 Ph: (843) 284-8410 |
| NPI Number | 1033951629 |
|---|---|
| Provider Enumeration Date | 06/12/2024 |
| Last Update Date | 06/14/2024 |
| Medicare PECOS PAC ID | 0840737813 |
|---|---|
| Medicare Enrollment ID | O20240808000534 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033951629 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Martha C Pagnillo |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932492345 PECOS PAC ID: 3678750858 Enrollment ID: I20240814001949 |
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