MEDICARE: ACCESSABILITY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	385HR2060X	Child Intellectual and/or Developmental Disabilities Respite Care

General Provider Information

NPI Number	:	1215490990
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ACCESSABILITY

Provider Business Mailing Address
First Line	:	7944 DORCHESTER RD STE 5
Second Line	:
City	:	NORTH CHARLESTON
State	:	SC
Zip	:	29418-2919
Country	:	US
Telephone Number	:	843-225-5080
Fax Number	:	843-225-5082

Provider Business Practice Location Address
First Line	:	7944 DORCHESTER RD STE 5
Second Line	:
City	:	NORTH CHARLESTON
State	:	SC
Zip	:	29418-2919
Country	:	US
Telephone Number	:	843-225-5080
Fax Number	:	843-225-5082

Authorized Official
Title or Position	:	OUTREACH AND DEVELOPMENT COORDINATO
Name	:	RICK MAGNER
Credential	:
Telephone Number	:	843-225-5080

Provider Enumeration Date	:	04/10/2019
Last Update Date	:	04/10/2019

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Directions to “ACCESSABILITY ” Practice Location

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