# PALMETTO REHAB OF CHARLESTON LLC

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

## Provider details

- **NPI number:** 1881663300
- **Authorized official:** CLYDE HIERS (OWNER)
- **Authorized official phone:** (843) 875-2959

## Contact information

- **Practice address:** 90 SPRINGVIEW LN, SUMMERVILLE, SC 29485-8153
- **Practice address phone:** (843) 875-2959
- **Practice address fax:** (843) 875-2836
- **Mailing address:** PO BOX 51989, SUMMERVILLE, SC 29485-1989
- **Mailing address phone:** (843) 875-2959
- **Mailing address fax:** (843) 875-2836

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | — | SC | Yes |

## Other

- **Enumeration date:** 03/16/2006
- **Last updated:** 10/10/2007