Provider Demographics
NPI:1275871345
Name:FLORENCE COUNTY SCHOOL DISTRICT FIVE
Entity Type:Organization
Organization Name:FLORENCE COUNTY SCHOOL DISTRICT FIVE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DISTRICT SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RANDY
Authorized Official - Middle Name:
Authorized Official - Last Name:SMILEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-386-2358
Mailing Address - Street 1:156 EAST MARION STREET
Mailing Address - Street 2:
Mailing Address - City:JOHNSONVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29555
Mailing Address - Country:US
Mailing Address - Phone:843-386-2358
Mailing Address - Fax:
Practice Address - Street 1:156 EAST MARION STREET
Practice Address - Street 2:
Practice Address - City:JOHNSONVILLE
Practice Address - State:SC
Practice Address - Zip Code:29555
Practice Address - Country:US
Practice Address - Phone:843-386-2358
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-24
Last Update Date:2013-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC438633140N1450X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3140N1450XNursing & Custodial Care FacilitiesSkilled Nursing FacilityNursing Care, Pediatric