Organization
ON TARGET PREMIER SERVICES LLC
Active
Other names
ON Target Premier Services LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JULIET JOHNSON-RICHARDSON CASE MANAGER (EXECUTIVE DIRECTOR)
(305) 213-3703
Entity
Organization
Contact information
Practice address
1400 CHURCH ST, CONWAY, SC 29526-4104
(305) 213-3703
Mailing address
7866 U.S. 701, 29527, CONWAY, SC 29527
(305) 213-3703
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
10/04/2021
Last updated
10/04/2021
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