| NPI | 1881034247 |
|---|---|
| Doing Business As | GOOSE CREEK MANOR |
| Entity Type | Organization |
| Authorized Contact | LETICIA DEDIOS Administrator 843-572-7442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: SC CRC0762) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: SC CRC0639) |
| Enumeration Date | 2013-07-01 |
| Last Update Date | 2013-07-01 |