# FC MIDLANDS KATHWOOD, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Carolina Gardens at Kathwood
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053787663
- **Authorized official:** SCOTT BROWN (PRESIDENT)
- **Authorized official phone:** (770) 754-9660

## Contact information

- **Practice address:** 4520 TRENHOLM RD, COLUMBIA, SC 29206-4425
- **Practice address phone:** (803) 787-1234
- **Practice address fax:** (803) 787-1285
- **Mailing address:** 3500 LENOX ROAD, SUITE 510, ATLANTA, GA 30326
- **Mailing address phone:** (770) 754-9660

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 08/18/2015
- **Last updated:** 11/20/2015