OrganizationActive
Sc Dept of Disabilities & Special Needs
NPI 1902969868 · Intellectual Disabilities Intermediate Care Facility · Columbia, SC
Provider details
- NPI number
- 1902969868
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Robert Barfield, Deputy State Director Admin(803) 898-9743
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
3440 Harden Street Extension
Columbia, SC 29203
Phone: (803) 898-9600
Fax: (803) 898-9653
Approximate (ZIP-level) locationGet directions
Mailing address
Post Office Box 4706
Columbia, SC 29240-4708
Other names (DBA / former)
- Other name
- Mccullough Community Residence
Registry dates
- Enumerated
- 2006-12-19
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.