Organization
CORLEONE ENTERPRISES INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN HENRY STEPHENS V (OWNER)
(704) 665-8213
Entity
Organization
Contact information
Practice address
130 WILKSHIRE DR, COLUMBIA, SC 29210-4254
(704) 665-8213
Mailing address
130 WILKSHIRE DR, COLUMBIA, SC 29210-4254
(704) 665-8213
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/20/2024
Last updated
09/20/2024
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