| NPI | 1306152343 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARRYL MAST Administrator 864-621-4958 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: SC RC0429) |
| Enumeration Date | 2010-08-27 |
| Last Update Date | 2018-01-15 |