Organization · Type 2 NPI

SC Dept of Disabilities and Special Needs

Intellectual Disabilities Intermediate Care Facility · Columbia, SC

NPI number 1164585014 Active

Practice location

3440 Harden Street Extension
Columbia, SC 29203

Call (803) 898-9600 Map

Fax (803) 898-9653

Mailing address

Post Office Box 4706, 3440 Harden Street Extension
Columbia, SC 29240-4706

Specialties and licenses

TaxonomyCodeLicense
Intellectual Disabilities Intermediate Care Facility Primary 315P00000XNone listed

Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.

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About NPI 1164585014

SC Dept of Disabilities and Special Needs's National Provider Identifier is 1164585014, issued on Dec 19, 2006. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Columbia, SC. The record was last updated on Aug 22, 2020.