NPI 1881034247
Nl & Jr Incorporated
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
Assisted Living Facility
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.