Organization
BERKELEY SENIORS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TONYA J SWEATMAN (EXECUTIVE DIRECTOR)
(843) 761-0390
Entity
Organization
Contact information
Practice address
103 GULLEDGE ST, MONCKS CORNER, SC 29461
(843) 761-0390
Mailing address
103 GULLEDGE ST, MONCKS CORNER, SC 29461
(843) 761-0390
(843) 761-0394
Taxonomy
Speciality
Code
Description
License number
State
332U00000X
Home Delivered Meals
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
EX0562
CLTC NUMBER
—
Enumeration date
02/09/2007
Last updated
08/22/2020
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