Organization
KERSHAW COUNTY ADULT DAY CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JOYCE P CARLTON (ADMINISTRATOR)
(803) 425-9040
Entity
Organization
Contact information
Practice address
2204 N BROAD STREET, CAMDEN, SC 29020
(803) 425-9040
(803) 425-9041
Mailing address
PO BOX 331, 2204 N BROAD STREET, CAMDEN, SC 29020
(803) 425-9040
(803) 425-9041
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
EX0364
—
SC
Enumeration date
05/16/2006
Last updated
08/22/2020
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