Knox Wesleyan Home For Youth

NPI 1255392577 - Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X

NPI Details
NPI 1255392577
Enumeration Date 03/28/2006
Last Updated 06/16/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name KATHY KATHY
Position OWNER/LCS
Phone (864) 833-4744
Fax (864) 833-4289
Practice Location
605 N BROAD ST
CLINTON SC, 29325-1707, US
Phone (864) 833-4744
Fax (864) 833-4289
Business Location
605 N BROAD ST
CLINTON SC, 29325-1707, US
Phone
Fax
Toxanomy
Taxonomy Code 322D00000X
License State South Carolina
License Number 253345027
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According to our database, Knox Wesleyan Home For Youth NPI is 1255392577, taxonomy code is 322D00000X and license number is 253345027, license state is located at South Carolina. Knox Wesleyan Home For Youth physically located at 605 N Broad St, Clinton SC, 29325-1707. NPI Number 1033115704 has the healthcare provider type.

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1255392577 NPI number is provided on an as is basis without warranty of any kind. 1255392577 is maintained by the National Plan & Provider Enumeration System. The contents of Knox Wesleyan Home For Youth are for informational purposes only.