Destination Greatness, Llc | |
1142 Flat St E Allendale SC 29810-5818 | |
(919) 794-5284 | |
Not Available |
Full Name | Destination Greatness, Llc |
---|---|
Speciality | Social Worker - Clinical |
Location | 1142 Flat St E, Allendale, South Carolina |
Authorized Official Name and Position | Shanna A Jefferson (OWNER) |
Authorized Official Contact | 9197945284 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Destination Greatness, Llc Po Box 13273 Durham NC 27709-3273 Ph: (919) 794-5284 | Destination Greatness, Llc 1142 Flat St E Allendale SC 29810-5818 Ph: (919) 794-5284 |
NPI Number | 1851722532 |
---|---|
Provider Enumeration Date | 12/06/2013 |
Last Update Date | 12/30/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1851722532 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
251E00000X | Home Health | (* (Not Available)) | Secondary |
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