NPI 1689414765
Martin's Place
Practice location
- Address
- 220 Packard Ln, Manning, SC 29102-3438
- Phone
- (803) 825-0024
Authorised official
- Name
- Latoya Alisha Collymore
- Title
- Caregiver
- Phone
- (803) 825-0024
Registered specialties
Child Physical Disabilities Respite Care
Primary
Registry record
- NPI
- 1689414765
- Entity type
- Organization
- NPI issued
- 28 May 2024
- Record last updated
- 28 May 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.