Organization
MARLBORO ADULT CARE INC
Active
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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