Clarendon County Council on Aging

Organization Active NPI Home Delivered Meals · Manning, SC

NPI 1366694697 · NPPES record last updated Oct 17, 2008

Key facts

NPI
1366694697
Entity type
Organization (NPI type 2)
Primary specialty
Home Delivered Meals 332U00000X
License
EX0012 (SC)
Legal business name
CLARENDON COUNTY COUNCIL ON AGING
Practice address
206 S Church St
Manning, SC 29102-3116
Phone
(803) 435-8593
Fax
(803) 435-2913
NPI assigned
Oct 17, 2008
Organization subpart
No

Authorized official

Name
Tom Mahoney
Title
Office/Finance Manager
Phone
(803) 435-8593

National Provider Directory

Locations

206 S Church St
Manning, SC 29102
Phone (803) 435-8593

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Delivered Meals 332U00000X EX0012 SC Yes

Addresses

Primary practice location

206 S Church St
Manning, SC 29102-3116

Mailing address

206 S Church St
P.O. Box 522
Manning, SC 29102-3116
Phone (803) 435-8593

Other identifiers

IdentifierTypeStateIssuer
EX10012MedicaidSC

Other providers in Manning, SC

All providers in Manning, SC · Home Delivered Meals in South Carolina

Sources for this page

Verify at the official NPI Registry.