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Organization

CHESTERFIELD MARLBORO LP

Active
Parent organization
CHESTERFIELD MARLBORO LP
Other names
Marlboro Park Hospital
Organization subpart
Yes

Provider details

NPI number
Legal business name
CHESTERFIELD MARLBORO LP
Authorized official
LAURIE HOLTSFORD (AUTHORIZED OFFICIAL)
(615) 465-7466
Entity
Organization

Contact information

Practice address
1138 CHERAW ST, BENNETTSVILLE, SC 29512-2466
(843) 479-2881
Mailing address
PO BOX 198157, ATLANTA, GA 30384-8157

Taxonomy

Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
HTL-677
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
140492
SC
05
179465
SC
Enumeration date
02/10/2006
Last updated
05/14/2014
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