Organization · Type 2 NPI

Eddie D Isham

Adult Day Care Clinic/Center · Allendale, SC

NPI number 1649449406 Active

Practice location

567 Patterson St
Allendale, SC 29810-6027

Fax (803) 584-7001

Specialties and licenses

TaxonomyCodeLicense
Adult Day Care Clinic/Center Primary 261QA0600X191 (SC)

Adult Day Care Clinic/Center: Definition to come...

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About NPI 1649449406

Eddie D Isham's National Provider Identifier is 1649449406, issued on Feb 26, 2008. The primary taxonomy on file is Adult Day Care Clinic/Center (261QA0600X), and the practice location is in Allendale, SC. The record was last updated on Jul 1, 2008.