Provider Demographics
NPI:1437587243
Name:YORK COUNTY BOARD OF DISABILITIES AND SPECIAL NEEDS
Entity Type:Organization
Organization Name:YORK COUNTY BOARD OF DISABILITIES AND SPECIAL NEEDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:PATRICIA
Authorized Official - Last Name:POOLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-628-5999
Mailing Address - Street 1:PO BOX 549
Mailing Address - Street 2:7900 PARK PLACE ROAD
Mailing Address - City:YORK
Mailing Address - State:SC
Mailing Address - Zip Code:29745-0549
Mailing Address - Country:US
Mailing Address - Phone:803-628-5999
Mailing Address - Fax:803-628-7984
Practice Address - Street 1:7900 PARK PLACE RD
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:SC
Practice Address - Zip Code:29745-7476
Practice Address - Country:US
Practice Address - Phone:803-628-5999
Practice Address - Fax:803-628-7984
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-15
Last Update Date:2013-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare