NPI 1265953590

Club Horizons of Charleston, LLC

Organisation Adult Care Home Facility North Charleston, SC

Practice location

Address: 8088 Rivers Ave, North Charleston, SC 29406-9235
Phone: (843) 992-2432
Mailing address: 170 Courthouse Sq, Florence, SC 29501-3432

Authorised official

Name: Ann Sparks Belissary
Title: Administrator
Phone: (843) 992-2432

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X Licence ADC-0418 (SC)

Other Custodial Care Facility providers in South Carolina →

Registry record

NPI: 1265953590
Entity type: Organization
NPI issued: 27 Jun 2017
Record last updated: 16 Jun 2018

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.