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Organization
CARLYLE SENIOR CARE OF BLACKVILLE LLC
Active
Organization
CARLYLE SENIOR CARE OF BLACKVILLE LLC
Active
Other names
Carlyle Senior Care of Blackville
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD CRANFORD (MANAGER)
(843) 799-0756
Entity
Organization
Contact information
Practice address
1612 JONES BRIDGE RD, BLACKVILLE, SC 29817-3066
(803) 284-4313
(803) 284-1746
Mailing address
1612 JONES BRIDGE RD, BLACKVILLE, SC 29817-3066
(803) 284-4313
(803) 284-1746
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
12/30/2022
Last updated
02/10/2026
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