NPI 1477909018

South Carolina Department of Health and Environmental Control

Organisation Custodial Care Facility Florence, SC

Practice location

Address: 1411 Dordie Cir, Florence, SC 29506-7368
Phone: (843) 536-6175

Authorised official

Name: Stacey Ann Kennedy
Title: Human Service Specialist 1
Phone: (843) 536-6175

Registered specialties

Custodial Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311Z00000X

Other Custodial Care Facility providers in South Carolina →

Registry record

NPI: 1477909018
Entity type: Organization
NPI issued: 12 May 2016
Record last updated: 12 May 2016

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.