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Organization
CARLYLE SENIOR CARE OF KINGSTREE,LLC
Active
Organization
CARLYLE SENIOR CARE OF KINGSTREE,LLC
Active
Other names
Kingstree Nursing Facility
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD CRANFORD (CFO)
(843) 799-0756
Entity
Organization
Contact information
Practice address
401 NELSON BLVD, KINGSTREE, SC 29556-4024
(843) 355-6116
(843) 355-2261
Mailing address
401 NELSON BLVD, KINGSTREE, SC 29556-4024
(843) 355-6116
(843) 355-2261
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145223
—
SC
Enumeration date
07/29/2006
Last updated
02/10/2026
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