IndividualActive
Ajah Thacker
NPI 1205489960 · Case Manager/Care Coordinator · Simpsonville, SC
Provider details
- NPI number
- 1205489960
- Entity type
- Individual
- Primary specialty
- Case Manager/Care CoordinatorOther Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
309 Se Main St Ste 207
Simpsonville, SC 29681-2696
Phone: (864) 349-6390
Fax: (864) 676-9187
Approximate (ZIP-level) locationGet directions
Mailing address
309 Se Main St Ste 207
Simpsonville, SC 29681-2696
Registry dates
- Enumerated
- 2019-07-22
- Last updated
- 2019-07-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.