Organization
RICHLAND SCHOOL DISTRICT TWO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN ANN LOURIE (MEDICAID COORDINATOR)
(803) 738-3309
Entity
Organization
Contact information
Practice address
6831 BROOKFIELD RD, COLUMBIA, SC 29206-2205
(803) 738-3309
(803) 738-3308
Mailing address
6831 BROOKFIELD RD, COLUMBIA, SC 29206-2205
(803) 738-3309
(803) 738-3308
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD4002
—
SC
Enumeration date
05/11/2006
Last updated
08/22/2020
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