Whalio Doctors

NPI 1205260304

Channel the Beacon

Organisation Case Management Agency North Charleston, SC

Practice location

Address
6650 Rivers Ave Suite 1408, North Charleston, SC 29406-4809
Phone
(843) 576-1408
Fax
(843) 278-9275
Mailing address
PO Box 41294, North Charleston, SC 29423-1294

Authorised official

Name
Johnette S Simmons
Title
Executive Director
Phone
(843) 330-1522

Registered specialties (2)

Case Management Agency Primary
Agencies Taxonomy 251B00000X
Voluntary or Charitable Agency
Agencies Taxonomy 251V00000X

Registry record

NPI
1205260304
Entity type
Organization
NPI issued
26 Aug 2013
Record last updated
5 Sep 2014

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.