NPI | 1538922034 |
---|---|
Entity Type | Organization |
Authorized Contact | VALENCIA W ANDERSON Administrator 803-683-7972 |
Organization Subpart ? | No |
Primary Taxonomy | 3104A0625X Assisted Living Facility Assisted Living, Mental Illness |
Enumeration Date | 2024-02-06 |
Last Update Date | 2024-02-06 |