Organization
COMPASSIONATE CARE CASE MANAGEMENT SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBORAH YOUNG M.ED, M.A. (OWNER)
(803) 514-3483
Entity
Organization
Contact information
Practice address
4 HIDDEN SANDS CT, COLUMBIA, SC 29229-7615
(803) 514-3483
Mailing address
4 HIDDEN SANDS CT, COLUMBIA, SC 29229-7615
(803) 514-3483
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0562
COMMUNITY LONG TERM CARE
SC
Enumeration date
01/19/2016
Last updated
01/19/2016
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