Organization
OAKRIDGE COMMUNITY CARE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DARRYL ALAN MAST RPH (ADMINISTRATOR)
(864) 621-4958
Entity
Organization
Contact information
Practice address
2470 OLD MILL RD, INMAN, SC 29349-9276
(864) 472-6979
Mailing address
2470 OLD MILL RD, INMAN, SC 29349-9276
(864) 472-6979
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
CRC-0241
SC
310400000X
Assisted Living Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RC0241
—
SC
Enumeration date
05/01/2013
Last updated
12/27/2017
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