Individual
FRANKLIN DELANVAR WASHINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1216 PURPLE MARTIN DR, EFFINGHAM, SC 29541-4945
(843) 735-3298
Mailing address
1216 PURPLE MARTIN DR, EFFINGHAM, SC 29541-4945
(843) 735-3298
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
251E00000X
Home Health Agency
Primary
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
04/19/2021
Last updated
04/19/2021
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