Organization
DEDICATED SOUTH CAROLINA HOLDING, LLC
Active
Parent organization
DEDICATED SOUTH CAROLINA HOLDING, LLC
Other names
Dedicated Senior Medical Center Fairwold
Organization subpart
Yes
Provider details
NPI number
Legal business name
DEDICATED SOUTH CAROLINA HOLDING, LLC
Authorized official
MARY CHEN (AUTHORIZED OFFICIAL)
(786) 618-7245
Entity
Organization
Contact information
Practice address
5900 N MAIN ST, COLUMBIA, SC 29203-6227
(803) 888-5425
(803) 830-7157
Mailing address
1395 NW 167TH ST, MIAMI GARDENS, FL 33169-5710
(305) 628-6117
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
06/23/2022
Last updated
02/01/2023
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