NPI | 1639584089 |
---|---|
Entity Type | Organization |
Authorized Contact | HELEN W RAVENELL Owner/Administrator 843-351-2240 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: SC CRC 1521) |
Enumeration Date | 2014-06-24 |
Last Update Date | 2014-06-24 |