Organization
URBAN LEAGUE OF THE UPSTATE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHIRLEY MCDONALD (BILLING COORDINATOR)
(864) 322-4117
Entity
Organization
Contact information
Practice address
15 REGENCY HILL DR, GREENVILLE, SC 29607-1230
(864) 244-3862
(864) 244-6134
Mailing address
15 REGENCY HILL DR, GREENVILLE, SC 29607-1230
(864) 244-3862
(864) 244-6134
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
5023
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MC0041
—
SC
Enumeration date
06/01/2005
Last updated
08/22/2020
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