National Provider Identifier Database

SOUTHEASTERN CHILDRENS HOME INC
Voluntary or Charitable


Contact Information

SOUTHEASTERN CHILDREN'S HOME, INC.
115 CHILDRENS WAY
DUNCAN, SC29334-9769
Phone: 864-439-0259
Fax: 864-949-0248
Website:
Specialty Taxonomy Code
* Voluntary or Charitable 251V00000X

* Indicates primary specialty

NPI Profile & details for SOUTHEASTERN CHILDREN'S HOME, INC.

NPI Number 1275848640
Legal business name
LBN
SOUTHEASTERN CHILDREN'S HOME, INC.
Authorized official ROBERT KIMBERLY - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 08/10/2010
Last updated 08/10/2010 - About 16 years ago
Sole proprietor1 Not specified
Identifiers
  • SC License #: LPC 1810
  • SC Medicaid: 1104977735
  • SC Medicaid: 1982634721

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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