Organization
COMMUNITY CARE OF SOUTH CAROLINA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAKESHA SHANAE STARKS LMSW (EXECUTIVE DIRECTOR)
(864) 990-7677
Entity
Organization
Contact information
Practice address
434 CANEWOOD PL, MAULDIN, SC 29662-3230
(864) 346-2044
Mailing address
434 CANEWOOD PL, MAULDIN, SC 29662-3230
(864) 346-2044
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
8810
SC
Other
Enumeration date
08/23/2007
Last updated
08/23/2007
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