Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Adjutant General of SC

Organization Case Management Agency · NPI 1306032214

Adjutant General of SC is a Case Management Agency in Eastover, South Carolina. Licensed in South Carolina. Registered with an NPI since 2007.

Licensed in
SC
In the registry since
2007

Practice location Address checks out

5471 Leesburg Rd
Eastover, SC 29044-9184
Phone: (803) 832-4876
Fax: (803) 832-4880
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Management Agency (primary) Taxonomy 251B00000X · Licence PR38913 (SC)

Record details

NPI number1306032214
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jackie Fogle — Director · (803) 331-6675
Other names Sc Youth Challenge Academy @ Camp Long
NPI enumeratedSeptember 25, 2007
Last updated in NPPESJune 24, 2010
Mailing address1 National Guard Rd, Columbia, SC 29201-4752