Individual ProviderMary MassarRegistered NurseNursing Service ProvidersPractice Address2670 Bonds Ave, North Charleston, SC 29405-7529(843) 740-7441PECOS EnrollmentBased on the most recent information from CMS, provider Mary Massar 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 ID1891459913Provider TypeIndividualFull NameMassar, MaryGenderFemaleSole ProprietorYesEnumeration Date10/25/2021Last Updated8/19/2022Contact InformationPractice LocationPractice Address2670 Bonds Ave, North Charleston, SC 29405-7529Phone(843) 740-7441Fax(854) 800-4057Mailing LocationMailing Address2670 Bonds Ave, North Charleston, SC 29405-7529Phone(843) 740-7441Fax(854) 800-4057Provider TaxonomiesCodeDescriptionLicenseCode163WS0200XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicense91783South Carolina