Organization
SIMMONS ADULT DAY CARE, LLC
Active
Organization
SIMMONS ADULT DAY CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY DAVIS (CREDENTIALING SPECIALISTS)
(912) 484-3879
Entity
Organization
Contact information
Practice address
2175 JOHNSVILLE ROAD, SMOAKS, SC 29481-2948
(843) 599-4230
Mailing address
2099 JOHNSONVILLE RD, SMOAKS, SC 29481
(843) 599-4230
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
04/02/2019
Last updated
04/03/2019
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