Whalio Doctors

NPI 1356740765

Hampton County Disabilities and Special Needs Board

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Varnville, SC

Practice location

Address
294 Hampton Road, Varnville, SC 29944
Phone
(803) 943-4818
Fax
(803) 943-3322
Mailing address
PO Box 128, Hampton, SC 29924-0128

Authorised official

Name
Elise S. McQuire
Title
Executive Director
Phone
(803) 943-4818

Registered specialties (2)

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320600000X Licence CRC-1211 (SC)
Developmentally Disabled Services Day Training Agency
Agencies Taxonomy 251C00000X Licence DAY0000033 (SC)

Registry record

NPI
1356740765
Entity type
Organization
NPI issued
21 Aug 2014
Record last updated
21 Aug 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.