NPI | 1790742963 |
---|---|
Entity Type | Organization |
Authorized Contact | CAROLYN M SWEATT Administrator 803-435-4008 |
Organization Subpart ? | No |
Primary Taxonomy | 311Z00000X Custodial Care Facility (Licence: SC EX0529) |
Enumeration Date | 2006-04-29 |
Last Update Date | 2020-08-22 |