# VITAL AGING OF WILLIAMSBURG COUNTY, INC.

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

## Provider details

- **NPI number:** 1306971502
- **Authorized official:** JUDY B ELDER (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (843) 354-5496

## Contact information

- **Practice address:** 501 NORTH LONGSTREET STREET, KINGSTREE, SC 29556
- **Practice address phone:** (843) 354-5496
- **Practice address fax:** (854) 354-3107
- **Mailing address:** 501 NORTH LONGSTREET STREET, P.O. BOX 450, KINGSTREE, SC 29556
- **Mailing address phone:** (843) 354-5496
- **Mailing address fax:** (854) 354-3107

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332U00000X | Home Delivered Meals | — | SC | Yes |

## Other

- **Enumeration date:** 02/21/2007
- **Last updated:** 08/22/2020