# DELTA PALMS ASSISTED LIVING LLC

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

## Provider details

- **NPI number:** 1568073849
- **Authorized official:** MR. JAMES L BUTLER (OWNER)
- **Authorized official phone:** (843) 753-3920

## Contact information

- **Practice address:** 12488 OLD NUMBER SIX HWY \# 6, EUTAWVILLE, SC 29048-9167
- **Practice address phone:** (843) 670-6051
- **Mailing address:** 2314 OLD HIGHWAY 6, CROSS, SC 29436-3548

## Taxonomy

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

## Other

- **Enumeration date:** 08/11/2020
- **Last updated:** 08/11/2020