# COMMUNITY CARE OF SOUTH CAROLINA

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

## Provider details

- **NPI number:** 1972796860
- **Authorized official:** LAKESHA SHANAE STARKS LMSW (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (864) 990-7677

## Contact information

- **Practice address:** 434 CANEWOOD PL, MAULDIN, SC 29662-3230
- **Practice address phone:** (864) 346-2044
- **Mailing address:** 434 CANEWOOD PL, MAULDIN, SC 29662-3230
- **Mailing address phone:** (864) 346-2044

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | 8810 | SC | Yes |

## Other

- **Enumeration date:** 08/23/2007
- **Last updated:** 08/23/2007
