NPI 1104773472 · live from the CMS NPI Registry
Affectionately Devoted Home Health
Meals in Myrtle Beach, SC. National Provider Identifier 1104773472, active.
NPI record
| NPI | 1104773472 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Meals 174200000X |
| Practice location | 2411 N Oak St Ste 205f, Myrtle Beach, SC 29577 |
| Practice phone | 888-304-2344 |
| Enumerated | March 14, 2026 |
| Last updated | March 14, 2026 |
| Authorized official | Shanyel Gibson, Ceo |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Home Health | 251E00000X | — |
| In Home Supportive Care | 253Z00000X | — |
| Home Delivered Meals | 332U00000X | — |
| Meals primary | 174200000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.