Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Michael Wallace

Individual provider In Home Supportive Care Agency · NPI 1558139428

Michael Wallace is an In Home Supportive Care Agency in Fountain Inn, South Carolina. Practices as a sole proprietor. Licensed in South Carolina.

Licensed in
SC
In the registry since
2023

Practice location Address checks out

1314 N Main St
Fountain Inn, SC 29644-1332
Phone: (864) 688-2018
Fax: (864) 484-8493
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

In Home Supportive Care Agency (primary) Taxonomy 253Z00000X · Licence IHCP-2020 (SC)

Record details

NPI number1558139428
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 19, 2023
Last updated in NPPESDecember 19, 2023
Certification dateDecember 19, 2023

Other providers in Fountain Inn