NPI 1447904040

Presbyterian Agency for the Developmentally Disabled INC

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

Practice location

Address: 2350 Regional Rd, Florence, SC 29501-7028
Phone: (843) 673-1005
Mailing address: PO Box 5534, Florence, SC 29502-5534

Authorised official

Name: Kimberly Tumbleson
Title: Administrator
Phone: (843) 673-1005

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X

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Registry record

NPI: 1447904040
Entity type: Organization
NPI issued: 11 Feb 2022
Record last updated: 11 Feb 2022

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.