Provider Demographics
NPI:1548591910
Name:PAGARR ENTERPRISE LLC
Entity type:Organization
Organization Name:PAGARR ENTERPRISE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:CLIFTON
Authorized Official - Last Name:GARRETT
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:864-630-3684
Mailing Address - Street 1:11 BRIGGS AVE
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29601-1101
Mailing Address - Country:US
Mailing Address - Phone:864-905-0028
Mailing Address - Fax:864-241-5284
Practice Address - Street 1:11 BRIGGS AVE
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29601-1101
Practice Address - Country:US
Practice Address - Phone:864-905-0028
Practice Address - Fax:864-241-5284
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-24
Last Update Date:2010-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care