Healthcare Provider Details

I. General information

NPI: 1427480193
Provider Name (Legal Business Name): STEP BY STEP TO NURSING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2013
Last Update Date: 08/05/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

237 CHARTWELL RD
COLUMBIA SC
29210-5834
US

IV. Provider business mailing address

237 CHARTWELL RD
COLUMBIA SC
29210-5834
US

V. Phone/Fax

Practice location:
  • Phone: 803-479-1962
  • Fax:
Mailing address:
  • Phone: 803-479-1962
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number StateSC
# 2
Primary TaxonomyY
Taxonomy Code313M00000X
TaxonomyNursing Facility/Intermediate Care Facility
License Number
License Number StateSC

VIII. Authorized Official

Name: MS. NICOLE DENISE FELDER
Title or Position: OWNER
Credential:
Phone: 803-479-1962