Organization
CITY OF PEACE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HERBERT ADDISON J.D., CPED (DIRECTOR)
(803) 629-7540
Entity
Organization
Contact information
Practice address
1601 WILLISTON RD, BEECH ISLAND, SC 29842-8369
(803) 629-7540
Mailing address
1601 WILLISTON RD, BEECH ISLAND, SC 29842-8369
(803) 629-7540
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
02/20/2012
Last updated
03/22/2012
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