Ichep,llc

NPI 1225290109 - Psychiatric Hospital - 283Q00000X

NPI Details
NPI 1225290109
Enumeration Date 07/01/2008
Last Updated 07/01/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name SHAKA ABDUL SHAKA
Position CEO
Phone (803) 477-7928
Fax
Practice Location
3555 HARDEN STREET EXT
EXT., SUITE B18
COLUMBIA SC, 29203-6894, US
Phone (803) 477-7928
Fax
Business Location
108 CAUGHMAN RIDGE RD
COLUMBIA SC, 29208-0001, US
Phone (803) 477-7928
Fax
Toxanomy
Taxonomy Code 283Q00000X
License State South Carolina
License Number 20083300132079
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According to our database, Ichep,llc NPI is 1225290109, taxonomy code is 283Q00000X and license number is 20083300132079, license state is located at South Carolina. Ichep,llc physically located at 3555 Harden Street Ext, Columbia SC, 29203-6894. NPI Number 1033115704 has the healthcare provider type.

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1225290109 NPI number is provided on an as is basis without warranty of any kind. 1225290109 is maintained by the National Plan & Provider Enumeration System. The contents of Ichep,llc are for informational purposes only.