OrganizationActive
Affectionately Devoted Home Health
NPI 1104773472 · Meals Provider · Myrtle Beach, SC
Provider details
- NPI number
- 1104773472
- Entity type
- Organization
- Primary specialty
- Meals ProviderOther Service Providers
- Authorized official
- Shanyel Gibson, Ceo
Practice location
2411 N Oak St Ste 205f
Myrtle Beach, SC 29577-3164
Phone: (888) 304-2344
Fax: (888) 304-2344
Mailing address
2411 N Oak St Ste 205f
Myrtle Beach, SC 29577-3164
Registry dates
- Enumerated
- 2026-03-14
- Last updated
- 2026-03-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.