Individual
REGINA C FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
392 W EVANS ST, FLORENCE, SC 29501-3430
(980) 621-9942
Mailing address
609 W EVANS ST, FLORENCE, SC 29501-3409
(980) 621-9942
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
05/23/2024
Last updated
05/23/2024
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