Community Care of South Carolina

Organization Active NPI Case Management Agency · Mauldin, SC

NPI 1972796860 · NPPES record last updated Aug 23, 2007

Key facts

NPI
1972796860
Entity type
Organization (NPI type 2)
Primary specialty
Case Management Agency 251B00000X
License
8810 (SC)
Legal business name
COMMUNITY CARE OF SOUTH CAROLINA
Practice address
434 Canewood PL
Mauldin, SC 29662-3230
Phone
(864) 346-2044
NPI assigned
Aug 23, 2007
Organization subpart
No

Authorized official

Name
Lakesha Shanae Starks, LMSW
Title
Executive Director
Phone
(864) 990-7677

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
Community Care of South Carolina (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 8810 SC Yes

Addresses

Primary practice location

434 Canewood PL
Mauldin, SC 29662-3230

Mailing address

434 Canewood PL
Mauldin, SC 29662-3230
Phone (864) 346-2044

Other providers in Mauldin, SC

All providers in Mauldin, SC · Case Management Agency in South Carolina

Sources for this page

Verify at the official NPI Registry.