Organization
PHC REHAB, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELLEN S DURRENCE R.PH (VICE PRESIDENT)
(843) 762-3601
Entity
Organization
Contact information
Practice address
418 B FOLLY ROAD, CHARLESTON, SC 29412
(843) 766-3888
(843) 766-3478
Mailing address
1548 ASHLEY RIVER ROAD SUITE C, CHARLESTON, SC 29407
(843) 766-3888
(843) 766-3478
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP1708
—
SC
Enumeration date
01/19/2006
Last updated
03/03/2022
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