1861838054 NPI number — DISABILITY AND AUTISM SERVICES OF SOUTH CAROLINA

Table of content: MRS. CAROL MARIE SAVLUK RPH (NPI 1750429197)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1861838054 NPI number — DISABILITY AND AUTISM SERVICES OF SOUTH CAROLINA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DISABILITY AND AUTISM SERVICES OF SOUTH CAROLINA
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1861838054
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/15/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
83 OLDE CANAL LOOP
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PAWLEYS ISLAND
Provider Business Mailing Address State Name:
SC
Provider Business Mailing Address Postal Code:
29585-7847
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
843-240-7001
Provider Business Mailing Address Fax Number:
843-235-0450

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
83 OLDE CANAL LOOP
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PAWLEYS ISLAND
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29585-7847
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
843-240-7001
Provider Business Practice Location Address Fax Number:
843-235-0450
Provider Enumeration Date:
05/15/2013

Additional Information

Authorized Official

Authorized Official Last Name:
GILLAM
Authorized Official First Name:
JULIE
Authorized Official Middle Name:
Authorized Official Title or Position:
MANAGER
Authorized Official Telephone Number:
843-240-7001

Provider Taxonomy Codes

  • Taxonomy code: 103K00000X , with the licence number:  1-04-1487 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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