Organization
PALMETTO RIDGE ASSISTED LIVING & MEMORY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONI COOKE-EVANS (PRESIDENT)
(843) 537-4197
Entity
Organization
Contact information
Practice address
840 MANOR RD, CHERAW, SC 29520-4035
(843) 537-4197
Mailing address
840 MANOR RD, PO BOX 278, CHERAW, SC 29520-4035
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
RC1393
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RC1393
SC DHEC LICENSE
SC
Enumeration date
04/03/2013
Last updated
04/03/2013
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