# OAK HOLLOW OF GEORGETOWN ASSISTED LIVING CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** South Island ALF, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639869225
- **Authorized official:** MR. JAMES ALLEN CUNNINGHAM (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (919) 710-4521

## Contact information

- **Practice address:** 2902 S ISLAND RD, GEORGETOWN, SC 29440-4420
- **Practice address phone:** (843) 545-5427
- **Mailing address:** 215C CHURCH ST NW, LENOIR, NC 28645-5116
- **Mailing address phone:** (919) 710-4521

## Taxonomy

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

## Other

- **Enumeration date:** 05/09/2023
- **Last updated:** 05/09/2023
