Theodore J Bliman

Individual provider Active NPI Home Health Aide · Bluffton, SC

NPI 1629840947 · NPPES record last updated Oct 30, 2023

Key facts

NPI
1629840947
Entity type
Individual (NPI type 1)
Primary specialty
Home Health Aide 374U00000X
Practice address
58 Fording CT
Bluffton, SC 29910-9583
Phone
(843) 384-7501
NPI assigned
Oct 30, 2023
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X Yes

Addresses

Primary practice location

58 Fording CT
Bluffton, SC 29910-9583

Mailing address

58 Fording CT
Bluffton, SC 29910-9583

Other providers in Bluffton, SC

All providers in Bluffton, SC · Home Health Aide in South Carolina

Sources for this page

Verify at the official NPI Registry.