# FC MIDLANDS HARBISON, LLC

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

## Provider details

- **NPI number:** 1386018877
- **Authorized official:** SCOTT BROWN (PRESIDENT)
- **Authorized official phone:** (770) 754-9660

## Contact information

- **Practice address:** 990 COLUMBIA AVE, IRMO, SC 29063-2854
- **Practice address phone:** (803) 749-7889
- **Practice address fax:** (803) 407-1848
- **Mailing address:** 3500 LENOX ROAD, SUITE 510, ATLANTA, GA 30326
- **Mailing address phone:** (770) 754-9660

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 11/20/2015
- **Last updated:** 11/20/2015