Organization
THE PLACE OF HEALING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEANDRA NICOLE KETTER (EXECUTIVE DIRECTOR)
(843) 616-6072
Entity
Organization
Contact information
Practice address
712 PEARL ST, DARLINGTON, SC 29532-3842
(843) 944-5080
(843) 944-5080
Mailing address
PO BOX 443, DARLINGTON, SC 29540-0443
(843) 944-5080
(843) 944-5080
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
177F00000X
Lodging Provider
—
—
251B00000X
Case Management Agency
—
—
251X00000X
Supports Brokerage Agency
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
261QF0050X
Non-Surgical Family Planning Clinic/Center
—
—
Other
Enumeration date
10/21/2020
Last updated
11/11/2020
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