Sc Ddsn (Midlands Center)
Intermediate Care Facility, Intellectual Disabilities in Columbia, SC. Organization (NPI-2).
NPI number1326189481
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1326189481
- Entity type
- Organization (NPI-2)
- Legal business name
- Sc Ddsn (Midlands Center)
- Organization subpart
- No
- Enumeration date
- Feb 10, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 315P00000X | Intermediate Care Facility, Intellectual Disabilities | 11487 | SC | Yes |
Practice location
8301 Farrow RdColumbia, SC 29203-3245
Phone 803-935-7543 · Fax 803-935-6781
Mailing address
8301 Farrow RdColumbia, SC 29203-3245
Phone 803-935-7543 · Fax 803-935-6781
Authorized official
Manorama Mishra
Staff Physician
8039356728
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All 105 Intellectual Disabilities Intermediate Care Facility providers in Columbia · All 14,701 providers in Columbia
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