ONE-EIGHTY PLACE; NPI #1316323645

Contact Information

ONE-EIGHTY PLACE

35 WALNUT ST
CHARLESTON, SC 29403-4514

Phone: 843-723-9477
Fax:
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 ONE-EIGHTY PLACE

NPI # 1316323645

LBN Legal business name ONE-EIGHTY PLACE

Authorized official SELENA WILSON - (CHIEF PROGRAM OFFICER)

Entity Organization

Organization subpart ¹ No

Enumeration date 08/10/2015

Last updated 08/10/2015 - About 11 years ago

Identifiers

Medicaid

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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ONE-EIGHTY PLACE

Contact Information

Specialty

Voluntary or Charitable

NPI Profile & details for ONE-EIGHTY PLACE

Reviews for ONE-EIGHTY PLACE