SC DDSN (Midlands Center)
Organization Active NPI Intellectual Disabilities Intermediate Care Facility · Columbia, SC
NPI 1326189481 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1326189481
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Intellectual Disabilities Intermediate Care Facility 315P00000X
- License
- 11487 (SC)
- Legal business name
- SC DDSN (MIDLANDS CENTER)
- Practice address
- 8301 Farrow Rd
Columbia, SC 29203-3245 - Phone
- (803) 935-7543
- Fax
- (803) 935-6781
- NPI assigned
- Feb 10, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Manorama Mishra, M.D.
- Title
- Staff Physician
- Phone
- (803) 935-6728
Corporate family (same tax ID) 24
National Provider Directory
- Tax ID family
- SC Dept of Health and Environmental Control
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | 11487 | SC | Yes |
Addresses
Primary practice location
8301 Farrow Rd
Columbia, SC 29203-3245
Mailing address
8301 Farrow Rd
Columbia, SC 29203-3245
Phone (803) 935-7543
Other providers in Columbia, SC
- Caroline Anne Say
- Kate Keziahantoinettsully Sayeed
- Mona Elaine Saylor
- SC Anesthesiology LLC
- SC Behavior Solutions, LLC
- SC Department of Health & Environmental Control
- SC Department of Health and Human Services
- SC Department of Juvenile Justice
- SC Department of Juvenile Justice
- SC Dept of Disabilities & Special Needs
All providers in Columbia, SC · Intellectual Disabilities Intermediate Care Facility in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.