| NPI | 1013263433 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD E. HART Owner 843-493-0001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: SC RCF 0712) |
| Enumeration Date | 2012-08-03 |
| Last Update Date | 2012-08-03 |