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Organization
ON TARGET PREMIER SERVICES LLC
Active
Organization
ON TARGET PREMIER SERVICES LLC
Active
Other names
ON Target Premier Services LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JULIET JOHNSON-RICHARDSON CASE MANAGER (EXECUTIVE DIRECTOR)
(305) 213-3703
Entity
Organization
Contact information
Practice address
1400 CHURCH ST, CONWAY, SC 29526-4104
(305) 213-3703
Mailing address
7866 U.S. 701, 29527, CONWAY, SC 29527
(305) 213-3703
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
NULL
Other
Enumeration date
10/04/2021
Last updated
10/04/2021
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