Organization
MOM4MOMS
Active
Other names
South Carolina Diaper Bank
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHANNA RENEE GRAHAM (EXECUTIVE DIRECTOR)
(803) 552-9540
Entity
Organization
Contact information
Practice address
3905 W BELTLINE BLVD STE 17, COLUMBIA, SC 29204-1503
(803) 906-0216
Mailing address
614 HARBOUR POINTE DR, COLUMBIA, SC 29229-7591
(803) 906-0216
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/18/2018
Last updated
12/18/2018
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