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GREENVILLE COUNTY DISABILITIES AND SPECIAL NEEDS BOARD NPI 1699088070


NPI Information

NPI: 1699088070
Provider Name: GREENVILLE COUNTY DISABILITIES AND SPECIAL NEEDS BOARD
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
1700 RIDGE ROAD
GREENVILLE, SC
ZIP 29607
Phone: (864) 288-1907
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GREENVILLE COUNTY DISABILITIES AND SPECIAL NEEDS BOARD is a community based residential treatment facility, intellectual and/or developmental disabilities in Greenville, SC. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. GREENVILLE COUNTY DISABILITIES AND SPECIAL NEEDS BOARD NPI is 1699088070. The provider is registered as an organization entity type.

The provider's business location address is:

1700 RIDGE ROAD
GREENVILLE, SC
ZIP 29607-730
Phone: (864) 288-1907
Fax: (864) 297-4990

The provider's authorized official is John Cocciolone .
The authorized official title is Executive Director and has the following contact phone number (864) 288-1907.

The enumeration date for this NPI number is 7/14/2010 and was last updated on 12/28/2015.


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
1320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities42G128SOUTH CAROLINAYes

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: 11/14/2023

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