Organization
LOW COUNTRY FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILL DESHAWN OUTLAW (PRESIDENT)
(803) 344-4241
Entity
Organization
Contact information
Practice address
9400 TWO NOTCH RD, SUITE F, COLUMBIA, SC 29223-5946
(803) 334-4241
(803) 658-0380
Mailing address
PO BOX 912, VARNVILLE, SC 29944-0912
(803) 943-0159
(803) 943-0612
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
07/16/2008
Last updated
08/07/2014
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