Organization
JIREH SERVICES,LLC
Active
Other names
New Direction Salon
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LARONDA TERASSA WILLIAMS (OWNER)
(864) 529-6700
Entity
Organization
Contact information
Practice address
180 JOHN B. WHITE SR. BLVD, SPARTANBURG, SC 29306
(864) 541-7496
Mailing address
PO BOX 170431, SPARTANBURG, SC 29301-0027
(864) 541-7496
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
90611
SC
Other
Enumeration date
07/12/2013
Last updated
07/12/2013
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