Healthcare Provider Details

I. General information

NPI: 1689792764
Provider Name (Legal Business Name): SALUDA COUNTY COUNCIL ON AGING, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

403 WEST BUTLER AVE.
SALUDA SC
29138-0507
US

IV. Provider business mailing address

PO BOX 507 403 WEST BUTLER AVE.
SALUDA SC
29138-0507
US

V. Phone/Fax

Practice location:
  • Phone: 864-445-2175
  • Fax: 864-445-2176
Mailing address:
  • Phone: 864-445-2175
  • Fax: 864-445-2176

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. JOHN C. SNYDER
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 864-445-2175