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NPI Code Detail

MEDICARE: CAROLINA CHILDREN'S HOME

MEDICARE: CAROLINA CHILDREN'S HOME
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency
2322D00000XEmotionally Disturbed Childrens' Residential Treatment FacilitySR-00019238001-CCISC

Other Identifiers

General Provider Information

NPI Number : 1699812453
Entity Type Code : Organization
Provider Name (Legal Business Name) : CAROLINA CHILDREN'S HOME
Provider Business Mailing Address
First Line : 3201 TRENHOLM ROAD
Second Line :
City : COLUMBIA
State : SC
Zip : 29204-3371
Country : US
Telephone Number : 803-782-1421
Fax Number : 803-787-2642
Provider Business Practice Location Address
First Line : 3201 TRENHOLM ROAD
Second Line :
City : COLUMBIA
State : SC
Zip : 29204-3371
Country : US
Telephone Number : 803-782-1421
Fax Number : 803-787-2642
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MRS. MARGARET TORREY
Credential : PH.D.
Telephone Number : 803-782-1421
Provider Enumeration Date : 01/31/2007
Last Update Date : 07/19/2012

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Directions to “CAROLINA CHILDREN'S HOME ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.