Provider Demographics
NPI:1043528870
Name:MATTERS OF MOTHERHOOD LLC
Entity type:Organization
Organization Name:MATTERS OF MOTHERHOOD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:FAYE
Authorized Official - Last Name:CORPENING
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:803-972-0895
Mailing Address - Street 1:PO BOX 121
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29202-0121
Mailing Address - Country:US
Mailing Address - Phone:803-972-0895
Mailing Address - Fax:
Practice Address - Street 1:1133 GOFFMAN RD
Practice Address - Street 2:
Practice Address - City:EASTOVER
Practice Address - State:SC
Practice Address - Zip Code:29044-9198
Practice Address - Country:US
Practice Address - Phone:803-972-0895
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-14
Last Update Date:2010-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCR79755251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care