Organization
CARLYLE SENIOR CARE OF BLACKVILLE LLC
Active
Other names
Carlyle Senior Care of Blackville
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD CRANFORD (MANAGER)
(843) 799-0756
Entity
Organization
Contact information
Practice address
1612 JONES BRIDGE RD, BLACKVILLE, SC 29817-3066
(803) 284-4313
(803) 284-1746
Mailing address
1612 JONES BRIDGE RD, BLACKVILLE, SC 29817-3066
(803) 284-4313
(803) 284-1746
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
12/30/2022
Last updated
02/10/2026
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