Organization
JOHNSONVILLE ADULT CARE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RHONDA HART ROBINSON (ADMINISTRATOR)
(843) 625-1290
Entity
Organization
Contact information
Practice address
351 S. MIDWAY HIGHWAY, JOHNSONVILLE, SC 29555
(843) 380-0777
(843) 380-1571
Mailing address
351 S. MIDWAY HIGHWAY, P.O. BOX 1118, JOHNSONVILLE, SC 29555
(843) 380-0777
(843) 380-1571
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
CRC-1530
SC
Other
Enumeration date
01/28/2013
Last updated
01/28/2013
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