| NPI | 1265953590 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN SPARKS BELISSARY Administrator 843-992-2432 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: SC ADC-0418) |
| Enumeration Date | 2017-06-27 |
| Last Update Date | 2018-06-16 |