Organization
BILLIE HARDEE HOME FOR BOYS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WAYNE GATES CHAPMAN (CEO)
(843) 393-8600
Entity
Organization
Contact information
Practice address
1133 TIMMONSVILLE HWY, DARLINGTON, SC 29532-5077
(843) 393-8600
(843) 393-6471
Mailing address
PO BOX 617, DARLINGTON, SC 29540-0617
(843) 393-8600
(843) 393-6471
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
SR-0001422001-GH
SC
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
SR-0008053001-CCI
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
946MXH
—
SC
05
—
974MXH
—
SC
Enumeration date
08/30/2006
Last updated
03/29/2011
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