| NPI | 1922845387 |
|---|---|
| Other Name | CASUAL COMMUNITY CARE HOME |
| Entity Type | Organization |
| Authorized Contact | LAVENE SMITH Owner/Operator 803-465-0446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2024-07-12 |
| Last Update Date | 2024-07-12 |