# FC MIDLANDS CONWAY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Carolina Gardens at Conway
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487020087
- **Authorized official:** SCOTT BROWN (PRESIDENT)
- **Authorized official phone:** (770) 754-9660

## Contact information

- **Practice address:** 2320 HIGHWAY 378, CONWAY, SC 29527-4911
- **Practice address phone:** (843) 397-2273
- **Practice address fax:** (843) 397-0761
- **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:** 08/18/2015
- **Last updated:** 11/20/2015