South Carolina Department Of Juvenile Justice in Jonesville - Residential Treatment Facility, Emotionally Disturbed Children
South Carolina Department Of Juvenile Justice - NPI 1578604195
South Carolina Department Of Juvenile Justice is a Residential Treatment Facility, Emotionally Disturbed Children in Jonesville, South Carolina. South Carolina Department Of Juvenile Justice practices all healthcare services and medical treatments related to Residential Treatment Facility, Emotionally Disturbed Children. The NPI Number for South Carolina Department Of Juvenile Justice is 1578604195. The last update date is 2020-08-22.
South Carolina Department Of Juvenile Justice's current location address is 742 T Bishop Rd, Jonesville, South Carolina. You can contact this provider via phone number 8646740458 and fax number 8646740460. The mailing address for South Carolina Department Of Juvenile Justice is 742 T Bishop Rd, Jonesville, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | South Carolina Department Of Juvenile Justice |
|---|---|
| Address | 742 T Bishop Rd, Jonesville, South Carolina |
| Phone Number | 8646740458 |
| Fax Number | 8646740460 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MEDICAID P |
|---|---|
| Authorized Official Name | Richardson L Mia |
| Telephone Number | 8038964751 |
NPI Number Detail
| NPI Number | 1578604195 |
|---|---|
| Provider Enumeration Date | 2007-02-08 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 742 T Bishop Rd |
|---|---|
| City | Jonesville |
| State | South Carolina (SC) |
| Post Code | 293532342 |
| Phone Number | 8646740458 |
| Fax Number | 8646740460 |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Emotionally Disturbed Children |
|---|---|
| Taxonomy | 322D00000X |
|
Definition: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| DJJ050 | SC | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to South Carolina Department Of Juvenile Justice by the Centers for Medicare & Medicaid Services?
The South Carolina Department Of Juvenile Justice has been assigned the NPI (National Provider Identifier) 1578604195 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where South Carolina Department Of Juvenile Justice is physically located?
The South Carolina Department Of Juvenile Justice is situated at the following address: 742 T Bishop Rd, Jonesville, SC 293532342.
What is South Carolina Department Of Juvenile Justice's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The South Carolina Department Of Juvenile Justice's specialized field of practice is Residential Treatment Facility, Emotionally Disturbed Children, and the corresponding taxonomy code that categorizes this area of specialization is 322D00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1578604195 to South Carolina Department Of Juvenile Justice?
The Centers for Medicare & Medicaid Services originally issued the 1578604195 to South Carolina Department Of Juvenile Justice on 2007-02-08.
When was the information related to South Carolina Department Of Juvenile Justice most recently updated or refreshed?
The details pertaining to the South Carolina Department Of Juvenile Justice, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.
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