Active Sc One, Inc.
NPI #1467166249 in West Columbia, South Carolina
Provider Information
- NPI Number
- 1467166249
- Entity Type
- Organization
- Organization Name
- Active Sc One, Inc.
- Primary Specialty
- Clinic/Center - Adult Day Care
- Enumeration Date
- Jan 6, 2023
- Last Updated
- Jan 6, 2023
Practice Location
- Address
- 3532 LEAPHART RD
- City
- West Columbia
- State
- South Carolina
- ZIP Code
- 29169-3032
- Phone
- (803) 791-3256
Authorized Official
- Name
- STEPHANIE VANSCHAICK
- Title
- REGULATORY AND CONTRACT ANALYST
- Phone
- (215) 642-6600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adult Day Care — Adult Day Care |
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