National Provider Identifier Database

SC DDSN MIDLANDS CENTER
Intermediate Care Facility, Mentally Retarded

(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.


Contact Information

SC DDSN (MIDLANDS CENTER)
8301 FARROW RD
COLUMBIA, SC29203-3245
Phone: 803-935-7543
Fax: 803-935-6781
Website:
Specialty Taxonomy Code
* Intermediate Care Facility, Mentally Retarded 315P00000X

* Indicates primary specialty

NPI Profile & details for SC DDSN (MIDLANDS CENTER)

NPI Number 1326189481
Legal business name
LBN
SC DDSN (MIDLANDS CENTER)
Authorized official MANORAMA MISHRA - (STAFF PHYSICIAN)
Entity Organization
Organization subpart No
Enumeration date 02/10/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • SC License #: 11487

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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