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SC DEPT OF DISABILITIES & SPECIAL NEEDS

Intermediate Care Facility, Mentally Retarded

Columbia, South Carolina

Provider NPI: 1265413074

Organization Information:
Organization Name:  SC DEPT OF DISABILITIES & SPECIAL NEEDS


Practice Location:
3440 HARDEN ST EXTENSION  COLUMBIA, SC 29203 US
Tel: 803-898-9600  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y315P00000XNursing & Custodial Care Facilities
Intermediate Care Facility, Mentally Retarded

Other Provider Identifiers:

IssuerNumberStateType
0202MRSC05
1818MRSC05
1919MRSC05
0707MRSC05
1212MRSC05
1616MRSC05
1414MRSC05
0404MRSC05
0808MRSC05
1515MRSC05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




MENTALLY RETARDED JOBS SC - Page 1



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