Organization
ALL ABOUT OUR SENIORS ADULT DAY CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANIKA LAVET WALLACE (PROGRAM DIRECTOR)
(864) 469-7192
Entity
Organization
Contact information
Practice address
1306 W POINSETT ST, GREER, SC 29650-1250
(864) 479-9111
(866) 562-4804
Mailing address
1306 W POINSETT ST, GREER, SC 29650-1250
(864) 469-7192
(866) 562-4804
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
ADC-0432
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
EX1698
—
SC
Enumeration date
03/29/2018
Last updated
08/26/2019
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