NPI 1124586599

Lucille Manor Community Residential Care, LLP

Organisation Mental Illness Community Based Residential Treatment Facility Eastover, SC

Practice location

Address: 1004 R L Coward Rd, Eastover, SC 29044-9455
Phone: (803) 546-0298
Mailing address: 27 Carriage Oaks CT, Columbia, SC 29229-9300

Authorised official

Name: Jacqueline Mack Mintz
Title: Administrator
Phone: (803) 546-0298

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X

Other Community Based Residential Treatment Facility, Mental Illness providers in South Carolina →

Registry record

NPI: 1124586599
Entity type: Organization
NPI issued: 5 Mar 2019
Record last updated: 5 Mar 2019

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.