Individual ProviderLola C MassogliaRegistered NurseNursing Service ProvidersPractice Address4050 Bridge View Dr, North Charleston, SC 29405-7488(336) 682-0007PECOS EnrollmentBased on the most recent information from CMS, provider Lola C Massoglia does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:07 PM.Profile DetailsProvider ID1821620485Provider TypeIndividualFull NameMassoglia, Lola CCredentialRNGenderFemaleSole ProprietorYesEnumeration Date2/11/2020Last Updated2/11/2020Contact InformationPractice LocationPractice Address4050 Bridge View Dr, North Charleston, SC 29405-7488Phone(336) 682-0007FaxUnlisted FaxMailing LocationMailing Address2243 Daniel Island Dr, Daniel Island, SC 29492-7952Phone(336) 682-0007FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode163WS0200XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicense214594South Carolina