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Organization
RAPHA RESIDENTIAL CARE
Active
Organization
RAPHA RESIDENTIAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID MANSELL (ADMINISTRATOR)
(803) 755-6541
Entity
Organization
Contact information
Practice address
3959 FISH HATCHERY RD, GASTON, SC 29053-9038
(803) 755-6541
(803) 955-0453
Mailing address
3959 FISH HATCHERY RD, GASTON, SC 29053-9038
(803) 755-6541
(803) 955-0453
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
1466-C06
SC
311500000X
Alzheimer Center (Dementia Center)
Primary
1466-C06
SC
Other
Enumeration date
06/10/2008
Last updated
06/10/2008
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