NPI | 1740664598 |
---|---|
Entity Type | Organization |
Authorized Contact | CHARLENE E ROUSE Owner/ Administrator 803-513-6700 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: SC RC0327) |
Additional Taxonomies | 310400000X Assisted Living Facility (Licence: SC RC0328) |
310400000X Assisted Living Facility (Licence: SC RC0238) | |
Enumeration Date | 2015-07-10 |
Last Update Date | 2015-07-10 |