# BILLIE HARDEE HOME FOR BOYS

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

## Provider details

- **NPI number:** 1619087889
- **Authorized official:** MR. WAYNE GATES CHAPMAN (CEO)
- **Authorized official phone:** (843) 393-8600

## Contact information

- **Practice address:** 1133 TIMMONSVILLE HWY, DARLINGTON, SC 29532-5077
- **Practice address phone:** (843) 393-8600
- **Practice address fax:** (843) 393-6471
- **Mailing address:** PO BOX 617, DARLINGTON, SC 29540-0617
- **Mailing address phone:** (843) 393-8600
- **Mailing address fax:** (843) 393-6471

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | SR-0001422001-GH | SC | Yes |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | SR-0008053001-CCI | SC | — |

## Other

- **Enumeration date:** 08/30/2006
- **Last updated:** 03/29/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 946MXH | — | SC |
| 05 | — | 974MXH | — | SC |