| NPI | 1932850682 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARILOU GRAFILO GERERO Administrator 803-365-5208 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2022-01-14 |
| Last Update Date | 2022-01-14 |