Whalio Doctors

NPI 1881034247

Nl & Jr Incorporated

Organisation Assisted Living Facility Goose Creek, SC

Practice location

Address
104 Marilyn St, Goose Creek, SC 29445-3104
Phone
(843) 572-7442

Authorised official

Name
Leticia Dedios
Title
Administrator
Phone
(843) 572-7442

Registered specialties (2)

Assisted Living Facility Primary
Nursing & Custodial Care Facilities Taxonomy 310400000X Licence CRC0762 (SC)
Assisted Living Facility
Nursing & Custodial Care Facilities Taxonomy 310400000X Licence CRC0639 (SC)

Registry record

NPI
1881034247
Entity type
Organization
NPI issued
1 Jul 2013
Record last updated
1 Jul 2013

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.