Organization
SOUTHEASTERN CHILDREN'S HOME, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT C. KIMBERLY (EXECUTIVE DIRECTOR)
(864) 439-0259
Entity
Organization
Contact information
Practice address
115 CHILDRENS WAY, DUNCAN, SC 29334-9769
(864) 439-0259
(864) 949-0248
Mailing address
115 CHILDRENS WAY, DUNCAN, SC 29334-9769
(864) 439-0259
(864) 949-0248
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
LPC 1810
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104977735
—
SC
05
—
1982634721
—
SC
Enumeration date
08/10/2010
Last updated
08/10/2010
Update your record
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