# STEPHENS ACTIVE ADULT DAY CARE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** STEPHENS SENIOR CARE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164813267
- **Authorized official:** MRS. BARBARA STEPHEN (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (843) 756-1403

## Contact information

- **Practice address:** 3501 HIGHWAY 917, LORIS, SC 29569-9041
- **Practice address phone:** (843) 283-7815
- **Mailing address:** 210 MCNABB SHORTCUT RD, LORIS, SC 29569-7202
- **Mailing address phone:** (843) 756-1403

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YP1600X | Pastoral Counselor | 1558769695 | SC | — |
| 221700000X | Art Therapist | 1558769695 | SC | Yes |
| 225800000X | Recreation Therapist | 1558769695 | SC | — |
| 225A00000X | Music Therapist | 1558769695 | SC | — |

## Other

- **Enumeration date:** 02/10/2015
- **Last updated:** 02/10/2015