Organization
STEPHENS ACTIVE ADULT DAY CARE
Active
Other names
STEPHENS SENIOR CARE
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BARBARA STEPHEN (EXECUTIVE DIRECTOR)
(843) 756-1403
Entity
Organization
Contact information
Practice address
3501 HIGHWAY 917, LORIS, SC 29569-9041
(843) 283-7815
Mailing address
210 MCNABB SHORTCUT RD, LORIS, SC 29569-7202
(843) 756-1403
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
1558769695
SC
221700000X
Art Therapist
Primary
1558769695
SC
225800000X
Recreation Therapist
1558769695
SC
225A00000X
Music Therapist
1558769695
SC
Other
Enumeration date
02/10/2015
Last updated
02/10/2015
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