Organization
PALMETTO FAMILY SERVICE CENTER, LLC
Active
Parent organization
PALMETTO AIDS LIFE SUPPORT SERVICES, INC.
Other names
PALSS, Inc.
Organization subpart
Yes
Provider details
NPI number
Legal business name
PALMETTO AIDS LIFE SUPPORT SERVICES, INC.
Authorized official
CARMEN HAMPTON JULIOUS LISW-CP&AP (CEO)
(803) 779-7257
Entity
Organization
Contact information
Practice address
2638 TWO NOTCH RD STE 108, COLUMBIA, SC 29204-1454
(803) 779-7257
(803) 779-5285
Mailing address
2638 TWO NOTCH RD STE 108, COLUMBIA, SC 29204-1454
(803) 779-7257
(803) 779-5285
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
EX0210
—
SC
Enumeration date
03/11/2015
Last updated
03/11/2015
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