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NPI Code Detail

MEDICARE: COMMUNITY CARE OF YORK COUNTY

MEDICARE: COMMUNITY CARE OF YORK COUNTY
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
2251B00000XCase Management Agency

General Provider Information

NPI Number : 1932393881
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMMUNITY CARE OF YORK COUNTY
Provider Business Mailing Address
First Line : 1085 HEARN ST APT G
Second Line :
City : ROCK HILL
State : SC
Zip : 29732-2635
Country : US
Telephone Number : 803-448-8417
Fax Number : 803-324-9117
Provider Business Practice Location Address
First Line : 1085 HEARN ST APT G
Second Line :
City : ROCK HILL
State : SC
Zip : 29732-2635
Country : US
Telephone Number : 803-448-8417
Fax Number : 803-324-9117
Authorized Official
Title or Position : OWNER
Name : MRS. JOSEPHINE HENRY DOGAN
Credential : BSW
Telephone Number : 803-448-8417
Provider Enumeration Date : 09/04/2007
Last Update Date : 09/04/2007

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Directions to “COMMUNITY CARE OF YORK COUNTY ” Practice Location

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