Organization
CLUB HORIZONS OF CHARLESTON, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANN SPARKS BELISSARY M.ED. (ADMINISTRATOR)
(843) 992-2432
Entity
Organization
Contact information
Practice address
8088 RIVERS AVE, NORTH CHARLESTON, SC 29406-9235
(843) 992-2432
Mailing address
170 COURTHOUSE SQ, FLORENCE, SC 29501-3432
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
ADC-0418
SC
Other
Enumeration date
06/27/2017
Last updated
06/16/2018
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