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A Success Story

Case Management in Greenville, SC. Organization (NPI-2).

NPI number1285825448
StatusActive
Last updated in NPPESAug 5, 2007

Details

NPI
1285825448
Entity type
Organization (NPI-2)
Legal business name
A Success Story
Organization subpart
No
Enumeration date
Aug 5, 2007
Last updated
Aug 5, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251B00000X Case Management––Yes

Practice location

25 Fleetwood Dr
Greenville, SC 29605-1510

Phone 864-906-6645

Mailing address

10 Fleetwood Dr
Greenville, SC 29605-1511

Phone 864-906-6645

Authorized official

Demian Jerard Edwards
President
8649066645

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