| NPI | 1083672935 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAIL B BELISSARY Owner/Administrator 843-629-0103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: SC ADC-149) |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2020-08-22 |