| NPI | 1548868417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES WILLIAMS Administrator /Owner 803-730-4764 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2020-10-13 |
| Last Update Date | 2020-10-13 |