Organization
LAUREL MANOR GROUP HOMES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SYLVIA Q PENDARVIS (BUSINESS MANAGER)
(843) 462-2387
Entity
Organization
Contact information
Practice address
134 W MAIN ST, HARLEYVILLE, SC 29448-3700
(843) 462-2387
Mailing address
134 W MAIN ST, HARLEYVILLE, SC 29448-3700
(843) 462-2387
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
893MXH
SC
Other
Enumeration date
05/01/2006
Last updated
08/22/2020
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