| NPI | 1710064381 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERNETTE D DYCHES Owner/Director 803-531-6388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home (Licence: SC 03271) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-08-22 |