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Organization

FIRST CALVARY BAPTIST CHURCH ADULT DAY CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LARKIN LEE HANCOCK SR. (DIRECTOR)
(803) 327-9181
Entity
Organization

Contact information

Practice address
228 LUCKY LANE, ROCK HI LL, SC 29730
(803) 327-9595
(803) 985-4363
Mailing address
PO BOX 164, ROCK HILL, SC 29731-0164
(803) 327-9595
(803) 985-4363

Taxonomy

Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
ADC154
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
EX0512
SC
Enumeration date
01/08/2007
Last updated
08/22/2020
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