Organization
H ALTON BOYD SEINOR CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICKIE B MITCHELL (ADMINISTRATOR)
(843) 355-2420
Entity
Organization
Contact information
Practice address
484 NELSON BLVD, KINGSTREE, SC 29556-4025
(843) 355-2420
(843) 355-2420
Mailing address
484 NELSON BLVD, KINGSTREE, SC 29556-4025
(843) 355-2420
(843) 355-2420
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
—
SC
Other
Enumeration date
04/01/2013
Last updated
07/21/2022
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