Provider Demographics
NPI:1821404823
Name:ACCESS 2 HEALTH SOUTH CAROLINA
Entity Type:Organization
Organization Name:ACCESS 2 HEALTH SOUTH CAROLINA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:GREEN
Authorized Official - Last Name:MIDDLETON
Authorized Official - Suffix:
Authorized Official - Credentials:ED
Authorized Official - Phone:803-546-3220
Mailing Address - Street 1:2715 W LUCAS ST
Mailing Address - Street 2:BLDG 100 RM 108/ FATHERHOOD AND FAMILIES ENGAGEMENT
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29501-1242
Mailing Address - Country:US
Mailing Address - Phone:803-546-3220
Mailing Address - Fax:
Practice Address - Street 1:2715 W LUCAS ST
Practice Address - Street 2:BLDG 100 RM 108/ FATHERHOOD AND FAMILIES ENGAGEMENT
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29501-1242
Practice Address - Country:US
Practice Address - Phone:803-546-3220
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-10
Last Update Date:2014-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
No251B00000XAgenciesCase Management
No251V00000XAgenciesVoluntary or Charitable