OrganizationActive
Purpose-Sc
NPI 1124260427 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Greenville, SC
Provider details
- NPI number
- 1124260427
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Latonya Williams, Executive Director Adult Services(864) 313-4530
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Nursing & Custodial Care Facilities
Practice location
5321 Old Buncombe Rd
Greenville, SC 29609-0910
Phone: (864) 313-4530
Approximate (ZIP-level) locationGet directions
Mailing address
5321 Old Buncombe Rd
Greenville, SC 29609-0910
Registry dates
- Enumerated
- 2009-04-01
- Last updated
- 2024-08-22
- Certified
- 2024-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.