Healthcare Provider Details

I. General information

NPI: 1952237372
Provider Name (Legal Business Name): SOUTH CAROLINA PROGRESSIVE LIVING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/23/2026
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

331 E MAIN ST STE 220
ROCK HILL SC
29730-5384
US

IV. Provider business mailing address

331 E MAIN ST STE 220
ROCK HILL SC
29730-5384
US

V. Phone/Fax

Practice location:
  • Phone: 844-755-7275
  • Fax: 803-636-2948
Mailing address:
  • Phone: 844-755-7275
  • Fax: 803-636-2948

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: WHITNEY HUGHES
Title or Position: CEO
Credential: MSW
Phone: 844-755-7275