# GREENWOOD COUNTY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** LEGACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063612984
- **Authorized official:** MISS TETEASA MICHELLE SHAW (DIRECTOR)
- **Authorized official phone:** (864) 942-8766

## Contact information

- **Practice address:** 528 MONUMENT ST STE 105, GREENWOOD, SC 29646-2634
- **Practice address phone:** (864) 942-8766
- **Mailing address:** PO BOX 3312, GREENWOOD, SC 29648-3312
- **Mailing address phone:** (864) 942-8766

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 07/19/2007
- **Last updated:** 07/19/2007