Organization
FAITHFUL ADULT DAYCARE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETTYE RAVENELL (PRINCIPAL)
(803) 655-5002
Entity
Organization
Contact information
Practice address
21 SAINT MATTHEWS RD, ST MATTHEWS, SC 29135-8400
(803) 655-5002
(803) 655-5001
Mailing address
21 SAINT MATTHEWS RD, ST MATTHEWS, SC 29135-8400
(803) 655-5002
(803) 655-5001
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
ADC-0420
SC
Other
Enumeration date
12/28/2017
Last updated
12/28/2017
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