Provider Demographics
NPI:1922209444
Name:CHEROKEE COUNTY DSN BOARD
Entity Type:Organization
Organization Name:CHEROKEE COUNTY DSN BOARD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:GRADY
Authorized Official - Middle Name:G
Authorized Official - Last Name:EVANS
Authorized Official - Suffix:II
Authorized Official - Credentials:
Authorized Official - Phone:864-487-4190
Mailing Address - Street 1:PO BOX 340
Mailing Address - Street 2:
Mailing Address - City:GAFFNEY
Mailing Address - State:SC
Mailing Address - Zip Code:29342-0340
Mailing Address - Country:US
Mailing Address - Phone:864-487-4190
Mailing Address - Fax:864-489-1384
Practice Address - Street 1:959 E ONEAL ST
Practice Address - Street 2:
Practice Address - City:GAFFNEY
Practice Address - State:SC
Practice Address - Zip Code:29340-4024
Practice Address - Country:US
Practice Address - Phone:864-487-4190
Practice Address - Fax:864-489-1384
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management