Individual provider · Type 1 NPI
Wayne Chavis
Physical Disabilities Residential Treatment Facility · Fort Mill, SC
NPI number
1417497314
Active
Practice location
7223 Kendallwood Ct
Fort Mill, SC 29715-6219
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Disabilities Residential Treatment Facility Primary | 320700000X | 364SHO200X (SC) |
Physical Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.
Another provider at this address
About NPI 1417497314
Wayne Chavis's National Provider Identifier is 1417497314, issued on Feb 27, 2017. The primary taxonomy on file is Physical Disabilities Residential Treatment Facility (320700000X), and the practice location is in Fort Mill, SC. The record was last updated on Feb 27, 2017.