Healthcare Provider Details

I. General information

NPI: 1427201557
Provider Name (Legal Business Name): DENT,S ALTERNATIVE ADULT DAYCARE HEALTH SERVICES,LLP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/03/2008
Last Update Date: 11/03/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7351 PARKLANE RD
COLUMBIA SC
29223-7651
US

IV. Provider business mailing address

7351 PARKLANE RD
COLUMBIA SC
29223-7651
US

V. Phone/Fax

Practice location:
  • Phone: 803-708-8955
  • Fax: 803-708-4939
Mailing address:
  • Phone: 803-708-8955
  • Fax: 803-708-4939

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number261QA0600X
License Number StateSC

VIII. Authorized Official

Name: MRS. BERTHA DENT
Title or Position: ADMINSTRATOR
Credential: REGISTERED NURSE
Phone: 803-708-8955