Healthcare Provider Details

I. General information

NPI: 1437587243
Provider Name (Legal Business Name): YORK COUNTY BOARD OF DISABILITIES AND SPECIAL NEEDS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/15/2013
Last Update Date: 01/23/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7900 PARK PLACE RD
YORK SC
29745-7476
US

IV. Provider business mailing address

PO BOX 549 7900 PARK PLACE RD
YORK SC
29745-0549
US

V. Phone/Fax

Practice location:
  • Phone: 803-628-5800
  • Fax: 803-628-7984
Mailing address:
  • Phone: 803-628-5999
  • Fax: 803-628-7984

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. MICHELLE N SHAFFER
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 803-818-6752