Provider Demographics
NPI:1861858243
Name:ANOTHER CHANCE FOR OPPORTUNITY INC.
Entity Type:Organization
Organization Name:ANOTHER CHANCE FOR OPPORTUNITY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SHANEKA
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-883-5270
Mailing Address - Street 1:652 BULTMAN DR
Mailing Address - Street 2:
Mailing Address - City:SUMTER
Mailing Address - State:SC
Mailing Address - Zip Code:29150-2550
Mailing Address - Country:US
Mailing Address - Phone:803-883-5270
Mailing Address - Fax:
Practice Address - Street 1:652 BULTMAN DR
Practice Address - Street 2:
Practice Address - City:SUMTER
Practice Address - State:SC
Practice Address - Zip Code:29150-2550
Practice Address - Country:US
Practice Address - Phone:803-883-5270
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-14
Last Update Date:2016-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management