| NPI | 1609589001 |
|---|---|
| Doing Business As | CARLYLE SENIOR CARE OF WILLISTON |
| Entity Type | Organization |
| Authorized Contact | RICHARD CRANFORD Manager 843-799-0756 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2022-12-30 |
| Last Update Date | 2022-12-30 |