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PATTISONS D R E A M ACADEMY NPI 1861678534


NPI Information

NPI: 1861678534
Provider Name: PATTISONS D R E A M ACADEMY
Classification: Clinic/Center - 261QR0400X
Entity Type: Organization

Specialization: Rehabilitation

Address:
721 WAPPOO RD
CHARLESTON, SC
ZIP 29407
Phone: (843) 402-7850
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PATTISONS D R E A M ACADEMY is a rehabilitation clinic center in Charleston, SC. PATTISONS D R E A M ACADEMY NPI is 1861678534. The provider is registered as an organization entity type.

The provider's business location address is:

721 WAPPOO RD
CHARLESTON, SC
ZIP 29407-861
Phone: (843) 402-7850
Fax: (843) 402-7850

The provider's authorized official is Laura Ganci .
The authorized official title is Executive Director and has the following contact phone number (843) 402-7850.

The enumeration date for this NPI number is 1/12/2008 and was last updated on 10/26/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QR0400XClinic/CenterRehabilitationYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1GP4825-1861678535MEDICAIDSOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.