Organization
AMIKIDS PALMETTO, INC.
Active
Parent organization
AMIKIDS, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
AMIKIDS, INC.
Authorized official
MR. RICKIE HARDY (EXECUTIVE DIRECTOR)
(864) 674-0458
Entity
Organization
Contact information
Practice address
780 T BISHOP RD, JONESVILLE, SC 29353-2342
(864) 674-0458
(864) 674-0460
Mailing address
780 T BISHOP RD, JONESVILLE, SC 29353-2342
(864) 674-0458
(864) 674-0460
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
SR-0001004332001-CCI
SC
320800000X
Mental Illness Community Based Residential Treatment Facility
SR-0001004332001-CCI
SC
3245S0500X
Children's Substance Abuse Rehabilitation Facility
SR-0001004332001-CCI
SC
Other
Enumeration date
02/11/2013
Last updated
02/11/2013
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