| Compassionate Acceptance For Life,llc | |
|
1032 4464 Devine Street Suite M Columbia SC 29205 | |
| (803) 386-7146 | |
| Not Available |
| Full Name | Compassionate Acceptance For Life,llc |
|---|---|
| Speciality | Social Worker |
| Location | 1032 4464 Devine Street, Columbia, South Carolina |
| Authorized Official Name and Position | Benjamin Calhoun Hilsman (OWNER) |
| Authorized Official Contact | 8644151045 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Compassionate Acceptance For Life,llc 1032 4464 Devine Street Suite M Columbia SC 29205 Ph: () - | Compassionate Acceptance For Life,llc 1032 4464 Devine Street Suite M Columbia SC 29205 Ph: (803) 386-7146 |
| NPI Number | 1386219392 |
|---|---|
| Provider Enumeration Date | 05/21/2021 |
| Last Update Date | 05/21/2021 |
| Certification Date | 05/11/2021 |
| Medicare PECOS PAC ID | 0042610560 |
|---|---|
| Medicare Enrollment ID | O20210621000863 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386219392 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Benjamin Calhoun Hilsman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073193082 PECOS PAC ID: 4688074107 Enrollment ID: I20210621000963 |
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