Provider Demographics
NPI:1760673362
Name:SINGLETON, LANA KAY (RPTA)
Entity Type:Individual
Prefix:MS
First Name:LANA
Middle Name:KAY
Last Name:SINGLETON
Suffix:
Gender:F
Credentials:RPTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:880 CAROLINA AVE
Mailing Address - Street 2:
Mailing Address - City:SUMTER
Mailing Address - State:SC
Mailing Address - Zip Code:29150-2815
Mailing Address - Country:US
Mailing Address - Phone:803-775-5394
Mailing Address - Fax:
Practice Address - Street 1:880 CAROLINA AVE
Practice Address - Street 2:
Practice Address - City:SUMTER
Practice Address - State:SC
Practice Address - Zip Code:29150-2815
Practice Address - Country:US
Practice Address - Phone:803-775-5394
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-08
Last Update Date:2007-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC542314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility