Provider Demographics
NPI:1881077865
Name:TEACH 1 SAVE 1
Entity type:Organization
Organization Name:TEACH 1 SAVE 1
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:LATIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCDANIEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:864-310-8717
Mailing Address - Street 1:18 BERRYHILL RD APT 17F
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29210-6427
Mailing Address - Country:US
Mailing Address - Phone:864-310-8717
Mailing Address - Fax:
Practice Address - Street 1:2601 READ ST STE I7
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29204-7861
Practice Address - Country:US
Practice Address - Phone:864-310-8717
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-08
Last Update Date:2015-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302F00000XManaged Care OrganizationsExclusive Provider Organization