Provider Demographics
NPI:1043965114
Name:LOWCOUNTRY NURSING GROUP, LLC
Entity type:Organization
Organization Name:LOWCOUNTRY NURSING GROUP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ASHLEE
Authorized Official - Middle Name:
Authorized Official - Last Name:PITTMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:843-518-5437
Mailing Address - Street 1:3820 FABER PLACE DR STE 200
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29405-8566
Mailing Address - Country:US
Mailing Address - Phone:843-554-1410
Mailing Address - Fax:843-554-1409
Practice Address - Street 1:3820 FABER PLACE DR STE 200
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29405-8566
Practice Address - Country:US
Practice Address - Phone:843-554-1410
Practice Address - Fax:843-554-1409
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LOWCOUNTRY NURSING GROUP, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-02-17
Last Update Date:2022-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based