Organization
LUMINARY LOVE LLC
Active
Parent organization
LUMINARY LOVE LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
LUMINARY LOVE LLC
Authorized official
PATRICIA RAYNOR (OWNER/OPERATOR)
(843) 330-3810
Entity
Organization
Contact information
Practice address
112 IRONWOOD TRL APT F, NORTH CHARLESTON, SC 29418-2098
(843) 330-3810
Mailing address
PO BOX 40914, NORTH CHARLESTON, SC 29423-0914
(843) 876-1802
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/01/2020
Last updated
12/02/2020
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