Mary's Angels Independent Living for Young Women

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

MARY'S ANGELS INDEPENDENT LIVING FOR YOUNG WOMEN

Practice address

29 Sunflower Dr
Cades, SC 29518-3312

Phone

(843) 382-5285

Fax

(843) 382-7280

NPI assigned

Aug 6, 2014

Last updated

Aug 6, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Juantia Green

Title

President/Ceo

Phone

(843) 382-5285

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1407283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407283200000",
    "number": "1144639881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 SUNFLOWER DR",
            "city": "CADES",
            "state": "SC",
            "postal_code": "295183312",
            "telephone_number": "843-382-5285",
            "fax_number": "843-382-7280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 SUNFLOWER DR",
            "city": "CADES",
            "state": "SC",
            "postal_code": "295183312",
            "telephone_number": "843-382-5285",
            "fax_number": "843-382-7280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY'S ANGELS INDEPENDENT LIVING FOR YOUNG WOMEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-06",
        "last_updated": "2014-08-06",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "JUANTIA",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "843-382-5285",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Illness Community Based Residential Treatment Facility in Cades, SC
• Providers in Cades, SC by specialty
• Mental Illness Community Based Residential Treatment Facility in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.