Provider Demographics
NPI:1255958989
Name:SINGLETON, LORETTA J
Entity type:Individual
Prefix:
First Name:LORETTA
Middle Name:J
Last Name:SINGLETON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:137 LARALEIGH RD
Mailing Address - Street 2:
Mailing Address - City:ORANGEBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29115-8710
Mailing Address - Country:US
Mailing Address - Phone:803-664-7909
Mailing Address - Fax:
Practice Address - Street 1:617 NORWAY RD
Practice Address - Street 2:
Practice Address - City:ORANGEBURG
Practice Address - State:SC
Practice Address - Zip Code:29115-8787
Practice Address - Country:US
Practice Address - Phone:803-664-7909
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-29
Last Update Date:2020-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide