| NPI | 1801241971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN EGBERT Pace Executive Md 803-252-1979 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: SC 19802) |
| Enumeration Date | 2016-04-26 |
| Last Update Date | 2016-04-26 |