| Palmetto Aids Life Support Services | |
|
2638 Two Notch Rd Suite 108 Columbia SC 29204-1454 | |
| (803) 779-7257 | |
| (803) 779-5285 |
| Full Name | Palmetto Aids Life Support Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2638 Two Notch Rd, Columbia, South Carolina |
| Authorized Official Name and Position | Carmen Hampton Julious (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 8037797257 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Palmetto Aids Life Support Services 2638 Two Notch Rd Suite 108 Columbia SC 29204-1454 Ph: (803) 779-7257 | Palmetto Aids Life Support Services 2638 Two Notch Rd Suite 108 Columbia SC 29204-1454 Ph: (803) 779-7257 |
| NPI Number | 1053730572 |
|---|---|
| Provider Enumeration Date | 04/11/2014 |
| Last Update Date | 04/11/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053730572 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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