Organization
FORMA MEDICAL SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID IRWIN MORRISEY (CEO)
(843) 536-3375
Entity
Organization
Contact information
Practice address
107 ORANGE ST APT 202, DARLINGTON, SC 29532-3107
(843) 536-3375
(843) 968-9047
Mailing address
107 ORANGE ST APT 202, DARLINGTON, SC 29532-3107
(843) 536-3375
(843) 968-9047
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
11/20/2018
Last updated
11/20/2018
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