NPI 1770342040

Koko's House of Gems

Organisation Mental Illness Community Based Residential Treatment Facility Summerville, SC

Practice location

Address: 527 Orangeburg Rd APT B8, Summerville, SC 29483-8981
Phone: (843) 530-1643

Authorised official

Name: Shmeaka Rochelle Campbell
Title: Owner
Phone: (843) 530-1643

Registered specialties (5)

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X

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Developmentally Disabled Services Day Training Agency

Agencies Taxonomy 251C00000X

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Adult Care Home Facility

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X

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Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

Residential Treatment Facilities Taxonomy 320900000X

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Non-emergency Medical Transport (VAN)

Transportation Services Taxonomy 343900000X

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Registry record

NPI: 1770342040
Entity type: Organization
NPI issued: 18 Mar 2024
Record last updated: 18 Mar 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.