Provider Demographics
NPI:1558723155
Name:SOLID FOUNDATIONS OF THE CAROLINAS
Entity Type:Organization
Organization Name:SOLID FOUNDATIONS OF THE CAROLINAS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:LUANN
Authorized Official - Last Name:HITER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-608-4288
Mailing Address - Street 1:7707 SAINT ANDREWS RD
Mailing Address - Street 2:
Mailing Address - City:IRMO
Mailing Address - State:SC
Mailing Address - Zip Code:29063-2835
Mailing Address - Country:US
Mailing Address - Phone:803-521-0070
Mailing Address - Fax:
Practice Address - Street 1:7707 SAINT ANDREWS RD
Practice Address - Street 2:
Practice Address - City:IRMO
Practice Address - State:SC
Practice Address - Zip Code:29063-2835
Practice Address - Country:US
Practice Address - Phone:803-521-0070
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-23
Last Update Date:2016-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health