Organization
MCMILLIAN'S COMMUNITY CARE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KAREN MCMILLIAN (ADMINISTRATOR)
(803) 754-7089
Entity
Organization
Contact information
Practice address
5748 KNIGHTNER ST, COLUMBIA, SC 29203-3508
(803) 754-7089
Mailing address
5748 KNIGHTNER ST, COLUMBIA, SC 29203-3508
(803) 754-7089
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
CRC0971
SC
Other
Enumeration date
06/05/2013
Last updated
06/05/2013
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