| NPI | 1306215140 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN MARK THOMAS Md, Family Medicine 843-819-7950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: SC 28138) |
| Enumeration Date | 2015-09-23 |
| Last Update Date | 2016-01-25 |