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CANAAN LAND COMMUNITY DEVELOPMENT CENTER NPI 1992013726


NPI Information

NPI: 1992013726
Provider Name: CANAAN LAND COMMUNITY DEVELOPMENT CENTER
Classification: Clinic/Center - 261QA0600X
Entity Type: Organization

Specialization: Adult Day Care

Address:
1900 MCNETT RD
MARION, SC
ZIP 29571
Phone: (843) 430-0495
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CANAAN LAND COMMUNITY DEVELOPMENT CENTER is an adult day care clinic center in Marion, SC. CANAAN LAND COMMUNITY DEVELOPMENT CENTER NPI is 1992013726. The provider is registered as an organization entity type.

The provider's business location address is:

1900 MCNETT RD
MARION, SC
ZIP 29571-601
Phone: (843) 430-0495

The provider's authorized official is Dessie B Mckelvy .
The authorized official title is Executive Director and has the following contact phone number (843) 430-0495.

The enumeration date for this NPI number is 9/14/2010 and was last updated on 9/14/2010.


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
1261QA0600XClinic/CenterAdult Day CareSOUTH 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: 4/28/2024

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