Provider Demographics
NPI:1144782640
Name:WILLIAMSBURG COUNTY DISABILITIES AND SPECIAL NEEDS BOARD
Entity Type:Organization
Organization Name:WILLIAMSBURG COUNTY DISABILITIES AND SPECIAL NEEDS BOARD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FINANCE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:
Authorized Official - Last Name:VERMELAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-355-5481
Mailing Address - Street 1:61 GREENLEE ST
Mailing Address - Street 2:
Mailing Address - City:KINGSTREE
Mailing Address - State:SC
Mailing Address - Zip Code:29556-6136
Mailing Address - Country:US
Mailing Address - Phone:843-355-5481
Mailing Address - Fax:843-355-5483
Practice Address - Street 1:61 GREENLEE ST
Practice Address - Street 2:
Practice Address - City:KINGSTREE
Practice Address - State:SC
Practice Address - Zip Code:29556-6136
Practice Address - Country:US
Practice Address - Phone:843-355-5481
Practice Address - Fax:843-355-5483
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-03
Last Update Date:2019-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities