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Organization
CAROLINA ROSES OF BLYTHEWOOD LLC
Active
Organization
CAROLINA ROSES OF BLYTHEWOOD LLC
Active
Other names
Carolina Roses
Organization subpart
No
Provider details
NPI number
Authorized official
SABREEN JOHNSON (ADMINISTRATOR)
(803) 397-1937
Entity
Organization
Contact information
Practice address
300 LONG POINTE LN STE 220-T, COLUMBIA, SC 29229-7543
(803) 397-1937
(803) 735-8112
Mailing address
PO BOX 942, ELGIN, SC 29045-0942
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
123598
SC
Other
Enumeration date
12/21/2016
Last updated
04/17/2023
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