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Organization

LOWCOUNTRY FAMILY SUPPORT SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. EVON WIGFALL N/A (DIRECTOR)
(843) 934-2197
Entity
Organization

Contact information

Practice address
4138 MEETING STREET RD, UNIT A, NORTH CHARLESTON, SC 29405-6662
(843) 934-2197
Mailing address
4138 MEETING STREET RD, UNIT A, NORTH CHARLESTON, SC 29405-6662
(843) 934-2197

Taxonomy

Speciality
Code
Description
License number
State
385HR2065X
Child Physical Disabilities Respite Care
Primary
LIC-3-16-152998
SC

Other

Enumeration date
02/08/2017
Last updated
02/08/2017
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