Provider Demographics
NPI:1326744632
Name:14TH CIRCUIT SOLICITOR'S OFFICE
Entity Type:Organization
Organization Name:14TH CIRCUIT SOLICITOR'S OFFICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SAFE/SANE COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:TALLEY
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:843-212-2441
Mailing Address - Street 1:PO BOX 1880
Mailing Address - Street 2:
Mailing Address - City:BLUFFTON
Mailing Address - State:SC
Mailing Address - Zip Code:29910-1880
Mailing Address - Country:US
Mailing Address - Phone:843-212-2441
Mailing Address - Fax:
Practice Address - Street 1:108 TRADERS CROSS
Practice Address - Street 2:
Practice Address - City:OKATIE
Practice Address - State:SC
Practice Address - Zip Code:29909-4610
Practice Address - Country:US
Practice Address - Phone:843-212-2441
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-07
Last Update Date:2023-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity HealthGroup - Single Specialty