# JENNI-LYNN ASSISTED LIVING, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Jenni Lynn Assisted Living
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114533981
- **Authorized official:** PAULA CARLSON CRCFA (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (843) 296-3985

## Contact information

- **Practice address:** 915 HOOK AVE, WEST COLUMBIA, SC 29169-5332
- **Practice address phone:** (843) 296-3985
- **Mailing address:** 1007 JOHNNIE DODDS BLVD STE 128, MOUNT PLEASANT, SC 29464-5901
- **Mailing address phone:** (843) 296-3985

## Taxonomy

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

## Other

- **Enumeration date:** 09/17/2020
- **Last updated:** 09/17/2020