NPI | 1497314256 |
---|---|
Entity Type | Organization |
Authorized Contact | EMILY COLLESIA MCCRAY Owner 843-356-5540 |
Organization Subpart ? | No |
Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
Enumeration Date | 2019-06-06 |
Last Update Date | 2019-06-06 |