NPI 1518658970

Beacon of Life Sc LLC

Organisation PACE Provider Organization North Charleston, SC

Practice location

Address: 2801 Ashley Phosphate Rd, North Charleston, SC 29418-4402
Phone: (855) 801-2653
Fax: (732) 806-3323
Mailing address: 106 W Moore Ave Suite a, Mooresville, NC 28115

Authorised official

Name: Michael Czermak
Title: Chief Administrative Officer
Phone: (855) 801-2653

Registered specialties

PACE Provider Organization Primary

Agencies Taxonomy 251T00000X

Other Program of All-Inclusive Care for the Elderly (PACE) Provider Organization providers in South Carolina →

Registry record

NPI: 1518658970
Entity type: Organization
NPI issued: 17 May 2023
Record last updated: 10 Apr 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.