| NPI | 1871161091 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNEY BREANA RATLIFF Administrator & Secretary 843-680-1694 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2021-06-14 |
| Last Update Date | 2021-06-14 |