NPI 1952890212
Golden Shields of South Carolina INC
Practice location
- Address
- 85 Wading Bird Loop, Blythewood, SC 29016-5906
- Phone
- (770) 380-8994
- Fax
- (800) 781-1997
- Mailing address
- 990 Mount Zion Rd, Oxford, GA 30054-4023
Authorised official
- Name
- Johnnie C Hardy
- Title
- Chief Executive Officer
- Phone
- (770) 380-8994
Registered specialties (11)
Psychiatric Residential Treatment Facility
Primary
Meals Provider
Lodging Provider
Case Management Agency
Community/Behavioral Health Agency
Emotionally Disturbed Childrens' Residential Treatment Facility
Non-Pharmacy Dispensing Site
Non-emergency Medical Transport (VAN)
Private Vehicle
Respite Care
Registry record
- NPI
- 1952890212
- Entity type
- Organization
- NPI issued
- 2 May 2018
- Record last updated
- 1 Sep 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.