NPI 1689402778

The Eligibility Group

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Irmo, SC

Practice location

Address: 902 Riverwalk Way, Irmo, SC 29063-9367
Phone: (347) 502-8068

Authorised official

Name: Thomas McNeill
Title: Owner
Phone: (347) 502-8068

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in South Carolina →

Registry record

NPI: 1689402778
Entity type: Organization
NPI issued: 22 Jul 2024
Record last updated: 22 Jul 2024

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.