institution
Eddie D Isham
Adult Day Care Clinic/Center in Allendale, South Carolina
NPI 1649449406

Eddie D Isham is an Adult Day Care Clinic/Center based in Allendale, SC and is specialized in Adult Day Care. Eddie D Isham practices in Allendale, SC. The NPI Number for Eddie D Isham is 1649449406 and holds a License No. 191 (South Carolina).

The current practice location address for Eddie D Isham is 567 Patterson St, Allendale, SC and can be reached out via phone at 803-584-1333 and via fax at 803-584-7001.

Location: 567 Patterson St, Allendale, SC, 29810-6027
institution
Provider Profile Details
NPI Number
1649449406
Provider Name
Eddie D Isham
Credential
Provider Entity Type
Organization
Address
567 Patterson St, Allendale, SC, 29810-6027
Phone Number
803-584-1333
Fax Number
803-584-7001
Provider Enumeration Date
02/26/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
EX0623 05 SC
institution
Provider Business Practice Location Address Details
Address
567 Patterson St
City
State
Zip
29810-6027
Phone Number
803-584-1333
Fax Number
803-584-7001
person
Provider Business Mailing Address Details
Address
567 Patterson St
City
State
Zip
29810-6027
Phone Number
803-584-1333
Fax Number
803-584-7001
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Day Care
Taxonomy
License No.
191 (South Carolina)
Definition
Definition to come...
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