# WALTERBORO WELLNESS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** WEST ASHLEY WELLNESS & REHABILITATION, LLC
- **Other names:** WALTERBORO WELLNESS, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1861808891
- **Legal business name:** WEST ASHLEY WELLNESS & REHABILITATION, LLC
- **Authorized official:** KAREN LUCKIE (OFFICE MANAGER)
- **Authorized official phone:** (843) 571-3100

## Contact information

- **Practice address:** 110B N MEMORIAL AVE, WALTERBORO, SC 29488-3908
- **Practice address phone:** (843) 782-4111
- **Practice address fax:** (843) 766-7798
- **Mailing address:** 3741 TIDELAND DR, JOHNS ISLAND, SC 29455-7456
- **Mailing address phone:** (843) 425-4694
- **Mailing address fax:** (843) 766-7798

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225400000X | Rehabilitation Practitioner | 23765 | SC | Yes |

## Other

- **Enumeration date:** 07/10/2014
- **Last updated:** 09/11/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1962726117 | NPI FOR WEST ASHLEY WELLNESS & REHABILITATION, LLC | SC |