Individual
LATASHA ALICIA JAMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 FLORA DR, COLUMBIA, SC 29223-5206
(404) 500-8452
Mailing address
PO BOX 291134, COLUMBIA, SC 29229-0019
(803) 467-4144
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
174400000X
Specialist
Primary
—
—
251E00000X
Home Health Agency
—
—
251G00000X
Community Based Hospice Care Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
Other
Enumeration date
06/06/2011
Last updated
02/28/2018
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