# PALMETTO RIDGE ASSISTED LIVING & MEMORY CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225371602
- **Authorized official:** TONI COOKE-EVANS (PRESIDENT)
- **Authorized official phone:** (843) 537-4197

## Contact information

- **Practice address:** 840 MANOR RD, CHERAW, SC 29520-4035
- **Practice address phone:** (843) 537-4197
- **Mailing address:** 840 MANOR RD, PO BOX 278, CHERAW, SC 29520-4035

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | RC1393 | SC | Yes |

## Other

- **Enumeration date:** 04/03/2013
- **Last updated:** 04/03/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | RC1393 | SC DHEC LICENSE | SC |