| Sandhills Intergrated Care, Inc. | |
|
4123 Meeting St Ste A Loris SC 29569-2409 | |
| (843) 756-3008 | |
| Not Available |
| Full Name | Sandhills Intergrated Care, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4123 Meeting St Ste A, Loris, South Carolina |
| Authorized Official Name and Position | Lachandra Troy (CEO) |
| Authorized Official Contact | 8437563008 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sandhills Intergrated Care, Inc. Po Box 532 Whiteville NC 28472-0532 Ph: (843) 756-3008 | Sandhills Intergrated Care, Inc. 4123 Meeting St Ste A Loris SC 29569-2409 Ph: (843) 756-3008 |
| NPI Number | 1174013684 |
|---|---|
| Provider Enumeration Date | 05/10/2018 |
| Last Update Date | 05/12/2022 |
| Certification Date | 05/12/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174013684 | NPI | - | NPPES |
| 1184107542 | Medicaid | NC | |
| GP8411 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (South Carolina) | Primary |
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