SOUTHEASTERN CHILDREN'S HOME, INC.; NPI #1275848640

Contact Information

SOUTHEASTERN CHILDREN'S HOME, INC.

115 CHILDRENS WAY
DUNCAN, SC 29334-9769

Phone: 864-439-0259
Fax: 864-949-0248
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Voluntary or Charitable	251V00000X	61	Voluntary Health or Charitable Agency[1]

Indicates primary specialty

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

NPI Number 1275848640

LBN Legal business name SOUTHEASTERN CHILDREN'S HOME, INC.

Authorized official ROBERT KIMBERLY - (EXECUTIVE DIRECTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 08/10/2010

Last updated 08/10/2010 - About 16 years ago

Identifiers

SC	License #	LPC 1810
SC	Medicaid	1104977735
SC	Medicaid	1982634721

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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SOUTHEASTERN CHILDREN'S HOME, INC.

Contact Information

Specialty

Voluntary or Charitable

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

Reviews for SOUTHEASTERN CHILDREN'S HOME, INC.