Provider Demographics
NPI:1114036274
Name:MARLBORO COUNTY SCHOOL DISTRICT
Entity Type:Organization
Organization Name:MARLBORO COUNTY SCHOOL DISTRICT
Other - Org Name:DIVISION OF SPECIAL SERVICES
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR OF SPECIAL SERVICES
Authorized Official - Prefix:MR
Authorized Official - First Name:RANDALL
Authorized Official - Middle Name:
Authorized Official - Last Name:MALICHI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-454-2038
Mailing Address - Street 1:922 BROAD STREET
Mailing Address - Street 2:PO BOX 947
Mailing Address - City:BENNETTSVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29512
Mailing Address - Country:US
Mailing Address - Phone:843-454-2038
Mailing Address - Fax:843-479-9680
Practice Address - Street 1:922 BROAD STREET
Practice Address - Street 2:
Practice Address - City:BENNETTSVILLE
Practice Address - State:SC
Practice Address - Zip Code:29512
Practice Address - Country:US
Practice Address - Phone:843-454-2038
Practice Address - Fax:843-479-9680
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Not Answered225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty
Not Answered231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty