# JOHNSONVILLE ADULT CARE SERVICES, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1366780298
- **Authorized official:** MRS. RHONDA HART ROBINSON (ADMINISTRATOR)
- **Authorized official phone:** (843) 625-1290

## Contact information

- **Practice address:** 351 S. MIDWAY HIGHWAY, JOHNSONVILLE, SC 29555
- **Practice address phone:** (843) 380-0777
- **Practice address fax:** (843) 380-1571
- **Mailing address:** 351 S. MIDWAY HIGHWAY, P.O. BOX 1118, JOHNSONVILLE, SC 29555
- **Mailing address phone:** (843) 380-0777
- **Mailing address fax:** (843) 380-1571

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | CRC-1530 | SC | Yes |

## Other

- **Enumeration date:** 01/28/2013
- **Last updated:** 01/28/2013