| Destination Greatness, Llc | |
|
1142 Flat St E Allendale SC 29810-5818 | |
| (919) 794-5284 | |
| Not Available |
| Full Name | Destination Greatness, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1142 Flat St E, Allendale, South Carolina |
| Authorized Official Name and Position | Shanna A Jefferson (OWNER) |
| Authorized Official Contact | 9197945284 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Destination Greatness, Llc Po Box 13273 Durham NC 27709-3273 Ph: (919) 794-5284 | Destination Greatness, Llc 1142 Flat St E Allendale SC 29810-5818 Ph: (919) 794-5284 |
| NPI Number | 1851722532 |
|---|---|
| Provider Enumeration Date | 12/06/2013 |
| Last Update Date | 12/30/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851722532 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 251E00000X | Home Health | (* (Not Available)) | Secondary |
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