| NPI | 1386880425 |
|---|---|
| Doing Business As | JADE COMMUNITY RESIDENTIAL CARE III |
| Entity Type | Organization |
| Authorized Contact | JULIA M. VELASCO Owner 843-853-6885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: SC CRC1125) |
| Enumeration Date | 2008-12-19 |
| Last Update Date | 2008-12-19 |