# LAKE CITY COMMUNITY DAY SERVICES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Genesis I Adult Day Care Services, Inc.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801972542
- **Authorized official:** MRS. EARLINE JAMES (DIRECTOR/OWNER)
- **Authorized official phone:** (843) 374-8088

## Contact information

- **Practice address:** 411 S BLANDING ST, POB 517, LAKE CITY, SC 29560-3513
- **Practice address phone:** (184) 337-4808
- **Practice address fax:** (784) 337-4538
- **Mailing address:** PO BOX 517, 411 S BLANDING ST, LAKE CITY, SC 29560
- **Mailing address phone:** (843) 374-8088
- **Mailing address fax:** (843) 374-5388

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | SDC-252 | SC | Yes |

## Other

- **Enumeration date:** 10/27/2006
- **Last updated:** 04/14/2010