NPI 1063612984

Greenwood County

Organisation Case Management Agency Greenwood, SC

Practice location

Address: 528 Monument St STE 105, Greenwood, SC 29646-2634
Phone: (864) 942-8766
Mailing address: PO Box 3312, Greenwood, SC 29648-3312

Authorised official

Name: Teteasa Michelle Shaw
Title: Director
Phone: (864) 942-8766

Registered specialties

Case Management Agency Primary

Agencies Taxonomy 251B00000X

Other Case Management providers in South Carolina →

Registry record

NPI: 1063612984
Entity type: Organization
NPI issued: 19 Jul 2007
Record last updated: 19 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.