| NPI | 1619137114 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID MANSELL Administrator 803-755-6541 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311500000X Alzheimer Center (Dementia Center) (Licence: SC 1466-C06) |
| Additional Taxonomies | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: SC 1466-C06) |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2008-06-10 |