Organization
MARLBORO ADULT CARE INC
Active
Other names
Marlboro Adult Day Health Care Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DENISE P WASHINGTON RN (ADMINISTRATOR)
(843) 479-0603
Entity
Organization
Contact information
Practice address
1039 CHERAW STREET, BENNETTSVILLE, SC 29512-2422
(843) 479-0603
(843) 479-0081
Mailing address
PO BOX 1484, 1039 CHERAW STREET, BENNETTSVILLE, SC 29512-2422
(843) 479-0603
(843) 479-0081
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
ADC 243
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
EX0696
—
SC
Enumeration date
02/06/2007
Last updated
08/22/2020
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