Hampton County Disabilities and Special Needs Board

Organization Active NPI Intellectual and/or Developmental Disabilities Residential Treatment Facility · Varnville, SC

NPI 1356740765 · NPPES record last updated Aug 21, 2014

Key facts

NPI
1356740765
Entity type
Organization (NPI type 2)
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X
License
CRC-1211 (SC)
Legal business name
HAMPTON COUNTY DISABILITIES AND SPECIAL NEEDS BOARD
Practice address
294 Hampton Road
Varnville, SC 29944
Phone
(803) 943-4818
Fax
(803) 943-3322
NPI assigned
Aug 21, 2014
Organization subpart
No

Authorized official

Name
Ms. Elise S. McQuire
Title
Executive Director
Phone
(803) 943-4818

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X DAY0000033 SC
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X CRC-1211 SC Yes

Addresses

Primary practice location

294 Hampton Road
Varnville, SC 29944

Mailing address

PO Box 128
Hampton, SC 29924-0128
Phone (803) 943-4818

Other providers in Varnville, SC

All providers in Varnville, SC · Intellectual and/or Developmental Disabilities Residential Treatment Facility in South Carolina

Sources for this page

Verify at the official NPI Registry.