Organization
ORANGE GROVE ELEMENTARY CHARTER SCHOOL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY DICENZO (PRINCIPAL)
(843) 763-1520
Entity
Organization
Contact information
Practice address
1225 ORANGE BRANCH RD, CHARLESTON, SC 29407-3336
(843) 763-1520
(843) 769-2245
Mailing address
1225 ORANGE BRANCH RD, CHARLESTON, SC 29407-3336
(843) 763-1520
(843) 769-2245
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
1469
SC
235Z00000X
Speech-Language Pathologist
Primary
485
SC
Other
Enumeration date
05/06/2009
Last updated
05/06/2009
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