Andreau Lynn Phifer Green, M.Ed.
Respite Care in Spartanburg, SC. Individual provider (NPI-1).
NPI number1497578108
StatusActive
Last updated in NPPESNov 2, 2024
Details
- NPI
- 1497578108
- Entity type
- Individual (NPI-1)
- Name
- Andreau Lynn Phifer Green
- Credential
- M.Ed.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 2, 2024
- Certification date
- Nov 2, 2024
- Last updated
- Nov 2, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 385H00000X | Respite Care | – | – | Yes |
Practice location
500 Brookdale DrSpartanburg, SC 29303-3141
Phone 864-266-6117
Mailing address
500 Brookdale DrSpartanburg, SC 29303-3141
Phone 864-266-6117
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