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Organization

JENNI-LYNN ASSISTED LIVING, LLC

Active
Other names
Jenni Lynn Assisted Living
Organization subpart
No

Provider details

NPI number
Authorized official
PAULA CARLSON CRCFA (EXECUTIVE DIRECTOR)
(843) 296-3985
Entity
Organization

Contact information

Practice address
915 HOOK AVE, WEST COLUMBIA, SC 29169-5332
(843) 296-3985
Mailing address
1007 JOHNNIE DODDS BLVD STE 128, MOUNT PLEASANT, SC 29464-5901
(843) 296-3985

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary

Other

Enumeration date
09/17/2020
Last updated
09/17/2020
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