NPI 1053293225
Wide Awake Center and Community Outreach
Practice location
- Address
- 6005 Center Station CT, Ravenel, SC 29470-5681
- Phone
- (843) 475-5605
- Mailing address
- 1640 Bertha Marie Ln, Wadmalaw Island, SC 29487-7188
Authorised official
- Name
- Cassandra Smith
- Title
- Director
- Phone
- (843) 475-5605
Registered specialties (15)
Personal Care Attendant
Primary
Social Worker
Home Modifications Contractor
Meals Provider
Health Educator
Lodging Provider
Case Management Agency
Community/Behavioral Health Agency
Voluntary or Charitable Agency
In Home Supportive Care Agency
Non-emergency Medical Transport (VAN)
Home Health Aide
Respite Care
Registry record
- NPI
- 1053293225
- Entity type
- Organization
- NPI issued
- 21 Jul 2025
- Record last updated
- 21 Jul 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.