Organization
INFINITI SOLUTIONS GLOBAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEO PHILLIPS JR. (CEO)
(843) 245-7555
Entity
Organization
Contact information
Practice address
4706 E HIGHWAY 76, MULLINS, SC 29574-7290
(843) 464-4005
Mailing address
3741 E HIGHWAY 76, MULLINS, SC 29574-7304
(843) 464-4005
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320700000X
Physical Disabilities Residential Treatment Facility
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
—
323P00000X
Psychiatric Residential Treatment Facility
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
09/25/2014
Last updated
09/25/2014
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