Organization · Type 2 NPI

SC Dept of Disabilities & Special Needs Mulberry PK Units 301-307

Intellectual Disabilities Intermediate Care Facility · Columbia, SC

NPI number 1174686018 Active

Practice location

3440 Harden Street Extension
Columbia, SC 29240-4706

Call (803) 898-9600 Map

Fax (803) 898-9653

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.

13 other providers at this address

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About NPI 1174686018

SC Dept of Disabilities & Special Needs Mulberry PK Units 301-307's National Provider Identifier is 1174686018, 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.