Damon, Tasha

Damon, Tasha is an sole proprietor health care provider with primary practice located at 320 58Th Ave N , North Myrtle Beach SC 29582-1122. She recently has 2 registered licenses in different health care specialties including Nursing Service Related Providers / Personal Care Attendant, Nursing Service Related Providers / Home Health Aide. Nursing Service Related Providers / Home Health Aide is her primary health care specialty. Damon, Tasha can be contacted via phone (843) 446-0516.

Contact Information

Primary practice address
320 58Th Ave N North Myrtle Beach SC 29582-1122
Phone: (843) 446-0516
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Personal Care Attendant 3747P1801X IHCP-0978 South Carolina
Nursing Service Related Providers / Home Health Aide 374U00000X IHCP-0978 South Carolina

Profile Details

NPI number 1982214599
LBN Legal business name Damon, Tasha
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 7th, 2020
Last updated May 10th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982214599 NPPES
South Carolina Other IHCP-0978 SC DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL

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