Healthcare Provider Details

I. General information

NPI: 1962268060
Provider Name (Legal Business Name): THE KEY SERVICES , LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/26/2024
Last Update Date: 02/26/2024
Certification Date: 02/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5900 CORE RD STE 104
NORTH CHARLESTON SC
29406-6000
US

IV. Provider business mailing address

5900 CORE RD STE 104
NORTH CHARLESTON SC
29406-6000
US

V. Phone/Fax

Practice location:
  • Phone: 843-709-1441
  • Fax:
Mailing address:
  • Phone: 843-709-1441
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number StateNULL

VIII. Authorized Official

Name: MRS. DORIAN NIXON
Title or Position: CEO
Credential: MSW
Phone: 843-709-1441