| Southern Support Services, Llc | |
|
514 2nd Loop Rd Suite C Florence SC 29505-2848 | |
| (843) 665-5181 | |
| (843) 665-5189 |
| Full Name | Southern Support Services, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 514 2nd Loop Rd, Florence, South Carolina |
| Authorized Official Name and Position | Nicole Ann Grant (QMTD) |
| Authorized Official Contact | 2527029176 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Support Services, Llc 514 2nd Loop Rd Suite C Florence SC 29505-2848 Ph: (843) 665-5181 | Southern Support Services, Llc 514 2nd Loop Rd Suite C Florence SC 29505-2848 Ph: (843) 665-5181 |
| NPI Number | 1235475609 |
|---|---|
| Provider Enumeration Date | 12/12/2012 |
| Last Update Date | 12/12/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235475609 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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