Organization
SOUTH CAROLINA SENIOR CARE ADVISORS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NOVELLA YVETTE JACKSON (PRESIDENT)
(803) 878-2478
Entity
Organization
Contact information
Practice address
968 DANTZLER ST, ORANGEBURG, SC 29115-4322
(803) 809-0003
(803) 809-0004
Mailing address
968 DANTZLER ST, ORANGEBURG, SC 29115-4322
(803) 809-0003
(803) 809-0004
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
305S00000X
Point of Service
—
—
Other
Enumeration date
03/26/2025
Last updated
04/06/2026
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