Organization
INGRAM HEALTH SERVICE/MANNA HOUSE.INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS DEBORAH FAYE INGRAM (CEO)
(910) 844-6262
Entity
Organization
Contact information
Practice address
211 N MARKET STREET, BENNETTSVILLE, SC 29512
(910) 844-6262
(910) 844-6265
Mailing address
211 E MARKET ST, BENNETTSVILLE, SC 29512-3128
(910) 844-6262
(910) 844-6264
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/23/2010
Last updated
11/23/2010
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