Organization
JADE COMMUNITY RESIDENTIAL CARE LLC
Active
Other names
Jade Community Residential Care III
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JULIA M. VELASCO (OWNER)
(843) 853-6885
Entity
Organization
Contact information
Practice address
9 CUNNINGTON STREET, CHARLESTON, SC 29413
(843) 853-0299
Mailing address
PO BOX 21877, 9 CUNNINGTON STREET, CHARLESTON, SC 29413
(843) 853-0299
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
CRC1125
SC
Other
Enumeration date
12/19/2008
Last updated
12/19/2008
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