LAURELCREST

WEST COLUMBIA, SC
NPI1427412980
Entity TypeOrganization
Authorized ContactPAM BIDENAGEL
Director Of Rehab
864-544-2323
Organization Subpart ?No
Primary Taxonomy302R00000X Health Maintenance Organization
(Licence: SC  2310)
Enumeration Date2016-04-11
Last Update Date2016-04-11
Business Address
LAURELCREST
100 JOSEPH WALKER DR
WEST COLUMBIA, SC 29169-6971
Phone number: 803-796-0370
Mailing Address
LAURELCREST
34 WOODCROSS DR APT 1203
COLUMBIA, SC 29212-2365
Phone number: 803-719-2206