| Living Bread, Inc. | |
|
7 Pettigru St Greenville SC 29601-3028 | |
| (864) 660-9407 | |
| Not Available |
| Full Name | Living Bread, Inc. |
|---|---|
| Speciality | Counselor - Professional |
| Location | 7 Pettigru St, Greenville, South Carolina |
| Authorized Official Name and Position | Ella Walker Henderson (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8646609407 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Living Bread, Inc. Po Box 9371 Greenville SC 29604-9371 Ph: (864) 660-9407 | Living Bread, Inc. 7 Pettigru St Greenville SC 29601-3028 Ph: (864) 660-9407 |
| NPI Number | 1447693205 |
|---|---|
| Provider Enumeration Date | 04/11/2013 |
| Last Update Date | 06/11/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447693205 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 5459 (South Carolina) | Primary |
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