# SOUTHEASTERN CHILDREN'S HOME

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104977735
- **Authorized official:** MR. ROBERT C. KIMBERLY (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (864) 439-0259

## Contact information

- **Practice address:** 115 CHILDRENS WAY, DUNCAN, SC 29334-9769
- **Practice address phone:** (864) 439-0259
- **Mailing address:** 115 CHILDRENS WAY, DUNCAN, SC 29334-9769
- **Mailing address phone:** (864) 439-0259

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | SC | Yes |

## Other

- **Enumeration date:** 01/12/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 920MXH | — | SC |
| 05 | — | 978MXH | — | SC |