Organization
JOHNSONVILLE ADULT DAY CENTER
Active
Other names
Johnsonville Adult Day Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RHONDA HART ROBINSON (ADMINISTRATOR)
(843) 380-0777
Entity
Organization
Contact information
Practice address
351 S. MIDWAY HIGHWAY, JOHNSONVILLE, SC 29555
(843) 380-0777
(843) 380-1531
Mailing address
P.O. BOX 1118, JOHNSONVILLE, SC 29555-1118
(843) 380-0777
(843) 380-1531
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
ADC0298
SC
343900000X
Non-emergency Medical Transport (VAN)
—
SC
Other
Enumeration date
04/05/2011
Last updated
04/05/2011
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