Organization
MARTIN'S PLACE
Active
Other names
Martin's Place Assisted
Organization subpart
No
Provider details
NPI number
Authorized official
LATOYA ALISHA COLLYMORE (CAREGIVER)
(803) 825-0024
Entity
Organization
Contact information
Practice address
220 PACKARD LN, MANNING, SC 29102-3438
(803) 825-0024
Mailing address
220 PACKARD LN, MANNING, SC 29102-3438
(803) 825-0024
Taxonomy
Speciality
Code
Description
License number
State
385HR2065X
Child Physical Disabilities Respite Care
Primary
—
—
Other
Enumeration date
05/28/2024
Last updated
05/28/2024
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