Organization
LANCASTER CHILDRENS HOME INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PATRICIA A CANTY (EXECUTIVE DIRECTOR)
(803) 286-5277
Entity
Organization
Contact information
Practice address
1335 CHILDRENS AVE, LANCASTER, SC 29720
(803) 286-5277
Mailing address
PO BOX 416, LANCASTER, SC 29721-0416
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
SR0008027001CC1
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
964MXH
—
SC
Enumeration date
05/11/2006
Last updated
08/22/2020
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