# ORANGEBURG ATTENTION HOMES, INC.

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

## Provider details

- **NPI number:** 1639399553
- **Authorized official:** MRS. RACHEL R WILSON (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (803) 534-0462

## Contact information

- **Practice address:** 155 WALL ST RM 16, ORANGEBURG, SC 29115-5404
- **Practice address phone:** (803) 534-0462
- **Practice address fax:** (803) 531-8517
- **Mailing address:** PO BOX 886, ORANGEBURG, SC 29116-0886
- **Mailing address phone:** (803) 534-0462
- **Mailing address fax:** (803) 531-8517

## Taxonomy

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

## Other

- **Enumeration date:** 04/26/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 962MXH | — | SC |