Organization
REGINA ROSE LIFE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANE REID (CEO)
(843) 409-8520
Entity
Organization
Contact information
Practice address
100 CROWFIELD BLVD, GOOSE CREEK, SC 29445-5337
(843) 409-8520
Mailing address
100 CROWFIELD BLVD, GOOSE CREEK, SC 29445-5337
(843) 409-8520
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
06/23/2025
Last updated
06/23/2025
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