Eddie D Isham
NPI #1649449406 in Allendale, South Carolina
Provider Information
- NPI Number
- 1649449406
- Entity Type
- Organization
- Organization Name
- Eddie D Isham
- Primary Specialty
- Clinic/Center - Adult Day Care
- Enumeration Date
- Feb 26, 2008
- Last Updated
- Jul 1, 2008
Practice Location
- Address
- 567 PATTERSON ST
- City
- Allendale
- State
- South Carolina
- ZIP Code
- 29810-6027
- Phone
- (803) 584-1333
Authorized Official
- Name
- MR. EDDIE DEAN ISHAM SR.
- Title
- CO-OWNER
- Phone
- (803) 584-1333
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adult Day Care — Adult Day Care |
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