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1417497314
WAYNE CHAVIS
FORT MILL, SC
NPI
1417497314
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
320700000X Residential Treatment Facility, Physical Disabilities
(Licence: SC 364SHO200X)
Enumeration Date
2017-02-27
Last Update Date
2017-02-27
Business Address
Mr. WAYNE CHAVIS
7223 KENDALLWOOD CT
FORT MILL, SC 29715-6219
Phone number: 803-357-1105
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Mailing Address
Mr. WAYNE CHAVIS
7223 KENDALLWOOD CT
FORT MILL, SC 29715-6219
Phone number: 803-357-1105
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