Organization
PER DIEM HEALTHCARE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GENA RANDOLPH CCC-SLP (CEO)
(843) 870-8822
Entity
Organization
Contact information
Practice address
1156 BOWMAN RD, SUITE 200, MOUNT PLEASANT, SC 29464-3803
(843) 870-8822
(843) 388-0349
Mailing address
PO BOX 1866, MOUNT PLEASANT, SC 29465-1866
(843) 870-8822
(843) 388-0349
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3120
SC
Other
Enumeration date
02/04/2011
Last updated
02/04/2011
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