| NPI | 1215190780 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JATAVIA NICOLE STRICKLAND Vice President 803-207-2169 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC 311ZA0620X) |
| Enumeration Date | 2008-07-05 |
| Last Update Date | 2008-07-05 |