Organization
MARION COUNTY ADULT DAY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILLIP EDWARD HUDSON SR. (PRESIDENT/ADMINISTRATOR)
(803) 432-9900
Entity
Organization
Contact information
Practice address
508 SOUTH MAIN ST, MARION, SC 29571
(843) 423-6220
Mailing address
508 SOUTH MAIN ST, MARION, SC 29571
(843) 423-6220
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
ADC-112
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
EXO274
—
SC
Enumeration date
02/22/2008
Last updated
02/22/2008
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