| Ujima Healthcare, Llc | |
|
637 Rock Lake Gln Fort Mill SC 29715-0001 | |
| (980) 229-3824 | |
| Not Available |
| Full Name | Ujima Healthcare, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 637 Rock Lake Gln, Fort Mill, South Carolina |
| Authorized Official Name and Position | William Jasper (MEMBER) |
| Authorized Official Contact | 9802293824 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ujima Healthcare, Llc 637 Rock Lake Gln Fort Mill SC 29715-0001 Ph: (980) 229-3824 | Ujima Healthcare, Llc 637 Rock Lake Gln Fort Mill SC 29715-0001 Ph: (980) 229-3824 |
| NPI Number | 1821835257 |
|---|---|
| Provider Enumeration Date | 07/12/2024 |
| Last Update Date | 07/12/2024 |
| Certification Date | 07/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821835257 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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