| Hammocks On The Edisto Llc | |
|
2137 Hope Plantation Lane Jacksonboro SC 29452 | |
| (843) 276-9326 | |
| Not Available |
| Full Name | Hammocks On The Edisto Llc |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 2137 Hope Plantation Lane, Jacksonboro, South Carolina |
| Authorized Official Name and Position | William Jonas Coatsworth (CEO/CHIEF OF CLINICAL SERVICES) |
| Authorized Official Contact | 8438063414 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hammocks On The Edisto Llc Po Box 130 Jacksonboro SC 29452-0130 Ph: () - | Hammocks On The Edisto Llc 2137 Hope Plantation Lane Jacksonboro SC 29452 Ph: (843) 276-9326 |
| NPI Number | 1861045767 |
|---|---|
| Provider Enumeration Date | 07/19/2019 |
| Last Update Date | 12/16/2020 |
| Certification Date | 12/16/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861045767 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0802X | Psychiatry & Neurology - Addiction Psychiatry | (* (Not Available)) | Secondary |
| 324500000X | Substance Abuse Rehabilitation Facility | (* (Not Available)) | Primary |