NPI 1205297967
Potter's House Palmetto, INC.
Practice location
- Address
- 104 E Berry St, Lincolnville, SC 29485-7204
- Phone
- (843) 200-4268
- Mailing address
- 2414 Clement's Ferry Rd., Charleston, SC 29429
Authorised official
- Name
- Jay A. Spateholts
- Title
- Chief Officer Rm & Compliance
- Phone
- (843) 200-4268
Registered specialties
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
Registry record
- NPI
- 1205297967
- Entity type
- Organization
- NPI issued
- 9 Mar 2016
- Record last updated
- 9 Mar 2016
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.