Lake City Community Day Services, Inc.
NPI #1801972542 in Lake City, South Carolina
Provider Information
- NPI Number
- 1801972542
- Entity Type
- Organization
- Organization Name
- Lake City Community Day Services, Inc.
- Primary Specialty
- Health Maintenance Organization
- Enumeration Date
- Oct 27, 2006
- Last Updated
- Apr 14, 2010
Practice Location
- Address
- 411 S BLANDING ST
- Address 2
- POB 517
- City
- Lake City
- State
- South Carolina
- ZIP Code
- 29560-3513
- Phone
- (184) 337-4808
Authorized Official
- Name
- MRS. EARLINE JAMES
- Title
- DIRECTOR/OWNER
- Phone
- (843) 374-8088
Specialties & Taxonomy Codes
| Specialty |
|---|
| Health Maintenance Organization |
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