The Palmetto Palace

Organization Active NPI Rural Health Clinic/Center · Allendale, SC

NPI 1962969154 · NPPES record last updated Feb 25, 2019

Key facts

NPI
1962969154
Entity type
Organization (NPI type 2)
Primary specialty
Rural Health Clinic/Center 261QR1300X
Legal business name
THE PALMETTO PALACE
Practice address
217 Flat St E
Allendale, SC 29810-4647
Phone
(843) 532-3169
NPI assigned
Feb 25, 2019
Organization subpart
No

Authorized official

Name
Dr. Youlanda Gibbs
Title
Executive Director/Founder
Phone
(843) 532-3169

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
The Palmetto Palace (2 organizations share this tax ID)

Locations

217 Flat St E
Allendale, SC 29810
Phone (843) 532-3169

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Yes

Addresses

Primary practice location

217 Flat St E
Allendale, SC 29810-4647

Mailing address

PO Box 21076
Charleston, SC 29413-1076
Phone (843) 532-3169

Other providers in Allendale, SC

All providers in Allendale, SC · Rural Health Clinic/Center in South Carolina

Sources for this page

Verify at the official NPI Registry.