person
Mr. Wayne Chavis
Physical Disabilities Residential Treatment Facility in Fort Mill, South Carolina
NPI 1417497314

Wayne Chavis is a Physical Disabilities Residential Treatment Facility based in Fort Mill, SC. Wayne Chavis practices in Fort Mill, SC. The NPI Number for Wayne Chavis is 1417497314 and holds a License No. 364SHO200X (South Carolina).

The current practice location address for Wayne Chavis is 7223 Kendallwood Ct, Fort Mill, SC and can be reached out via phone at 803-357-1105. You can also correspond with Wayne Chavis through the mailing address at 7223 KENDALLWOOD CT, FORT MILL, SC - 29715-6219 (mailing address contact number: 803-357-1105).

Location: 7223 Kendallwood Ct, Fort Mill, SC, 29715-6219
person
Provider Profile Details
NPI Number
1417497314
Provider Name
Wayne Chavis
Credential
Provider Entity Type
Individual
Gender
Male
Address
7223 Kendallwood Ct, Fort Mill, SC, 29715-6219
Phone Number
803-357-1105
Fax Number
Provider Enumeration Date
02/27/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
364SHO200X 05 SC
institution
Provider Business Practice Location Address Details
Address
7223 Kendallwood Ct
City
State
Zip
29715-6219
Phone Number
803-357-1105
Fax Number
person
Provider Business Mailing Address Details
Address
7223 Kendallwood Ct
City
State
Zip
29715-6219
Phone Number
803-357-1105
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Physical Disabilities
Speciality
-
Taxonomy
License No.
364SHO200X (South Carolina)
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.
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