Organization
A & A RESIDENTIAL CARE FACILITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANGELINE A. SMITH (OWNER)
(803) 465-0907
Entity
Organization
Contact information
Practice address
121 S HIGHLAND FOREST DR, COLUMBIA, SC 29203-1915
(803) 465-0907
(803) 569-6447
Mailing address
121 S HIGHLAND FOREST DR, COLUMBIA, SC 29203-1915
(803) 465-0907
(803) 569-6447
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
2008-36502-35667
SC
Other
Enumeration date
04/09/2009
Last updated
08/27/2015
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