Provider Demographics
NPI:1770307720
Name:FOLK, LORIE TENE (CNA)
Entity type:Individual
Prefix:
First Name:LORIE
Middle Name:TENE
Last Name:FOLK
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 73
Mailing Address - Street 2:
Mailing Address - City:EHRHARDT
Mailing Address - State:SC
Mailing Address - Zip Code:29081-0073
Mailing Address - Country:US
Mailing Address - Phone:803-824-9145
Mailing Address - Fax:
Practice Address - Street 1:920 TRAVELERS BLVD
Practice Address - Street 2:
Practice Address - City:SUMMERVILLE
Practice Address - State:SC
Practice Address - Zip Code:29485-8213
Practice Address - Country:US
Practice Address - Phone:843-875-9053
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-14
Last Update Date:2024-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC10094244376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376K00000XNursing Service Related ProvidersNurse's AideGroup - Single Specialty