# HERMAN L. ANDERSON INC,

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Anderson Oaks Assisted Livinge
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497169254
- **Authorized official:** MRS. JANICE C FLECKNOE ADMINISTRATOR (ADMINISTRATOR)
- **Authorized official phone:** (843) 347-9280

## Contact information

- **Practice address:** 997 HIGHWAY 90, CONWAY, SC 29526-7520
- **Practice address phone:** (843) 347-9280
- **Mailing address:** 997 HIGHWAY 90, CONWAY, SC 29526-7520
- **Mailing address phone:** (843) 347-9280

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | CRC-1506 | SC | Yes |

## Other

- **Enumeration date:** 06/19/2014
- **Last updated:** 06/19/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | CRC-1506 | FACILITY LICENSE | SC |