# LITCHFIELD REITREMENT, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Live Long WellCare of Litchfield
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154623767
- **Authorized official:** DARIA JEFFERS RN (HOME HEALTH ADMINISTRATOR)
- **Authorized official phone:** (843) 235-2422

## Contact information

- **Practice address:** 120 LAKES AT LITCHFIELD DR, PAWLEYS ISLAND, SC 29585-5502
- **Practice address phone:** (843) 235-2422
- **Mailing address:** 120 LAKES AT LITCHFIELD DR, PAWLEYS ISLAND, SC 29585-5502
- **Mailing address phone:** (843) 235-2422

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | HHA-0204 | SC | Yes |

## Other

- **Enumeration date:** 12/02/2010
- **Last updated:** 12/02/2010