| Jayreese Contracting,inc. | |
|
22 Old Polowana Road St. Helena Island SC 29920-1583 | |
| (843) 838-3295 | |
| (843) 838-4766 |
| Full Name | Jayreese Contracting,inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 22 Old Polowana Road, St. Helena Island, South Carolina |
| Authorized Official Name and Position | Dora D. James (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8438383295 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jayreese Contracting,inc. Po Box 1583 Saint Helena Island SC 29920-1583 Ph: (843) 838-3295 | Jayreese Contracting,inc. 22 Old Polowana Road St. Helena Island SC 29920-1583 Ph: (843) 838-3295 |
| NPI Number | 1578634572 |
|---|---|
| Provider Enumeration Date | 11/13/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578634572 | NPI | - | NPPES |
| CBT012 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |