Organization
MEDICALLY FRAGILE CHILDREN'S PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JANICE DINKINS (DIRECTOR)
(803) 434-1379
Entity
Organization
Contact information
Practice address
1924 MAIN ST, COLUMBIA, SC 29201-2412
(803) 434-2300
Mailing address
5 RICHLAND MEDICAL PARK DR, COLUMBIA, SC 29203-6863
(803) 434-2300
Taxonomy
Speciality
Code
Description
License number
State
261QM3000X
Medically Fragile Infants and Children Day Care
Primary
4590
SC
Other
Enumeration date
11/11/2009
Last updated
11/11/2009
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