South Carolina Department Of Juvenile Justice in Bennettsville - Residential Treatment Facility, Emotionally Disturbed Children
South Carolina Department Of Juvenile Justice - NPI 1407997034
South Carolina Department Of Juvenile Justice is a Residential Treatment Facility, Emotionally Disturbed Children in Bennettsville, 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 1407997034. The last update date is 2020-08-22.
South Carolina Department Of Juvenile Justice's current location address is 620 Marlboro Rd, Bennettsville, South Carolina. You can contact this provider via phone number 8434790420 and fax number 8434790840. The mailing address for South Carolina Department Of Juvenile Justice is 620 Marlboro Rd, Bennettsville, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | South Carolina Department Of Juvenile Justice |
|---|---|
| Address | 620 Marlboro Rd, Bennettsville, South Carolina |
| Phone Number | 8434790420 |
| Fax Number | 8434790840 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MEDICAID P |
|---|---|
| Authorized Official Name | Richardson L Mia |
| Telephone Number | 8038964751 |
NPI Number Detail
| NPI Number | 1407997034 |
|---|---|
| Provider Enumeration Date | 2007-02-08 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 620 Marlboro Rd |
|---|---|
| City | Bennettsville |
| State | South Carolina (SC) |
| Post Code | 295127733 |
| Phone Number | 8434790420 |
| Fax Number | 8434790840 |
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. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| DJJ048 | SC | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier 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) 1407997034 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of South Carolina Department Of Juvenile Justice?
The South Carolina Department Of Juvenile Justice is physically situated at 620 Marlboro Rd, in the city of Bennettsville, state of SC, with the postal code 295127733.
What is South Carolina Department Of Juvenile Justice's specialized field of practice, and what is the corresponding taxonomy classification code?
The South Carolina Department Of Juvenile Justice's area of specialization is Residential Treatment Facility, Emotionally Disturbed Children, and the corresponding taxonomy code that categorizes this field of practice is 322D00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1407997034 to South Carolina Department Of Juvenile Justice?
The South Carolina Department Of Juvenile Justice received its 1407997034 assignment from the Centers for Medicare & Medicaid Services on 2007-02-08.
When was the information regarding South Carolina Department Of Juvenile Justice, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to South Carolina Department Of Juvenile Justice, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-22.