| NPI | 1215154836 |
|---|---|
| Doing Business As | EBENEZER SENIOR DAY CENTER |
| Entity Type | Organization |
| Authorized Contact | TARSHA LA'VET WILLIAMS-MOSELEY Director 843-723-0065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311Z00000X Custodial Care Facility (Licence: SC ADC179) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2020-08-22 |