Organization
THE REID HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KEISHA DANIELS (EXECUTIVE DIRECTOR)
(864) 949-5120
Entity
Organization
Contact information
Practice address
117 DODD ST, WELLFORD, SC 29385-9475
(864) 949-5120
Mailing address
117 DODD ST, WELLFORD, SC 29385-9475
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
—
SC
333600000X
Pharmacy
Primary
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RC1463
—
SC
Enumeration date
07/06/2011
Last updated
07/06/2011
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