Organization
SEASHAR, LLC
Active
Other names
Twilite Manor Adult Residential Care
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD BENJAMIN GUNRAJ (MEMBER)
(803) 794-7561
Entity
Organization
Contact information
Practice address
2306 FORREST ST, CAYCE, SC 29033-2124
(803) 794-7561
Mailing address
2306 FORREST ST, CAYCE, SC 29033-2124
(803) 794-7561
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
CRC-1210
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CRC-1210
DHEC
SC
Enumeration date
09/17/2013
Last updated
09/17/2013
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