Vanisha Bennett
NPI #1508481607 in Greenville, South Carolina
Provider Information
- NPI Number
- 1508481607
- Entity Type
- Individual
- Name
- Vanisha Bennett
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Jun 15, 2020
- Last Updated
- Jun 15, 2020
Practice Location
- Address
- 305 SHADA LN
- City
- Greenville
- State
- South Carolina
- ZIP Code
- 29611-2068
- Phone
- (864) 887-6650
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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