| NPI | 1770886186 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALLACE DEKALB CLARDY President/CEO 843-903-0700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: SC CRC-1456) |
| Enumeration Date | 2010-12-08 |
| Last Update Date | 2010-12-08 |