Organization
HALL REHABILITATIVE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANGELA FORAND PHD (DIRECTOR OF WSHPI)
(803) 898-1593
Entity
Organization
Contact information
Practice address
2100 BULL ST, COLUMBIA, SC 29201
(803) 935-6977
(803) 935-7349
Mailing address
1800 COLONIAL DR, COLUMBIA, SC 29203-6827
(803) 935-6977
(803) 965-7349
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009MH
—
SC
01
—
20048858
SELECT HEALTH OF SC
SC
Enumeration date
10/25/2006
Last updated
01/25/2011
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