Provider Demographics
NPI:1861453813
Name:DARLINGTON PERSONAL SERVICE
Entity Type:Organization
Organization Name:DARLINGTON PERSONAL SERVICE
Other - Org Name:LIFELINE OF DARLINGTON
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:FRANCES
Authorized Official - Middle Name:TINDALL
Authorized Official - Last Name:BRITT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-393-1344
Mailing Address - Street 1:PO BOX 29
Mailing Address - Street 2:
Mailing Address - City:DARLINGTON
Mailing Address - State:SC
Mailing Address - Zip Code:29540-0029
Mailing Address - Country:US
Mailing Address - Phone:843-393-1344
Mailing Address - Fax:843-398-0691
Practice Address - Street 1:114 FLORIDA DR
Practice Address - Street 2:
Practice Address - City:DARLINGTON
Practice Address - State:SC
Practice Address - Zip Code:29532-2414
Practice Address - Country:US
Practice Address - Phone:843-393-1344
Practice Address - Fax:843-398-0691
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-29
Last Update Date:2008-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCDE1290Medicaid