Organization
CLARENDON COUNTY COUNCIL ON AGING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TOM MAHONEY (OFFICE/FINANCE MANAGER)
(803) 435-8593
Entity
Organization
Contact information
Practice address
206 S CHURCH ST, MANNING, SC 29102-3116
(803) 435-8593
(803) 435-2913
Mailing address
206 S CHURCH ST, P.O. BOX 522, MANNING, SC 29102-3116
(803) 435-8593
(803) 435-2913
Taxonomy
Speciality
Code
Description
License number
State
332U00000X
Home Delivered Meals
Primary
EX0012
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
EX10012
—
SC
Enumeration date
10/17/2008
Last updated
10/17/2008
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