Healthcare Provider Details

I. General information

NPI: 1801000278
Provider Name (Legal Business Name): REHABILITATION CENTERS OF CHARLESTON
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/09/2007
Last Update Date: 06/12/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 ISLAND PARK DR SUITE 105
DANIEL ISLAND SC
29492-7559
US

IV. Provider business mailing address

586 LONE TREE DR
MT PLEASANT SC
29464-8170
US

V. Phone/Fax

Practice location:
  • Phone: 843-884-7880
  • Fax: 843-884-6635
Mailing address:
  • Phone: 843-884-7880
  • Fax: 843-884-6635

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: SHANNON BECKHAM
Title or Position: CREDENTIALING COORDINATOR
Credential:
Phone: 843-884-7880