NPI 1346634904

Cheryl Renee Gibson-Dalton, PRESIDENTANDCEO

Practitioner Adult Care Home Facility Orangeburg, SC

Practice location

Address: 1231 Eutaw St, Orangeburg, SC 29115-3529
Phone: (803) 531-6534
Fax: (803) 531-6534

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X Licence RC1447 (SC)

Other Custodial Care Facility providers in South Carolina →

Registry record

NPI: 1346634904
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Mar 2015
Record last updated: 22 Mar 2015

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.