# JADE COMMUNITY RESIDENTIAL CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Jade Community Residential Care II
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366688400
- **Authorized official:** MS. JULIA M. VELASCO (OWNER)
- **Authorized official phone:** (843) 853-6885

## Contact information

- **Practice address:** 7A & 7B CUNNINGTON ST, CHARLESTON, SC 29413
- **Practice address phone:** (843) 853-0299
- **Mailing address:** PO BOX 21877, 7A & 7B CUNNINGTON ST, CHARLESTON, SC 29413
- **Mailing address phone:** (843) 853-0299

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | CRC1124 | SC | Yes |

## Other

- **Enumeration date:** 12/19/2008
- **Last updated:** 12/19/2008