NPI 1174686018

Sc Dept of Disabilities & Special Needs Mulberry Pk Units 301-307

Organisation Intellectual Disabilities Intermediate Care Facility Columbia, SC

Practice location

Address: 3440 Harden Street Extension, Columbia, SC 29240-4706
Phone: (803) 898-9600
Fax: (803) 898-9653
Mailing address: 3440 Harden Street Extension Post Office Box 4706, Columbia, SC 29240-4706

Authorised official

Name: Robert William Barfield
Title: Deputy State Director Administratio
Phone: (803) 898-9743

Registered specialties

Intellectual Disabilities Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 315P00000X

Other Intermediate Care Facility, Intellectual Disabilities providers in South Carolina →

Registry record

NPI: 1174686018
Entity type: Organization
NPI issued: 19 Dec 2006
Record last updated: 22 Aug 2020

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.