Organization
RHONDA LOUANNE RAWDON
Active
Other names
Cosmos Living, Cosmos Living c/o Rhonda Louanne Rawdon-Couch
Organization subpart
No
Provider details
NPI number
Authorized official
RHONDA LOUANNE COUCH LPN (OWNER)
(803) 207-6756
Entity
Organization
Contact information
Practice address
1048 CROATOAN DR, ROCK HILL, SC 29730-9626
(803) 207-6756
(866) 412-6766
Mailing address
1048 CROATOAN DR, ROCK HILL, SC 29730-9626
(803) 207-6756
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251J00000X
Nursing Care Agency
—
—
251K00000X
Public Health or Welfare Agency
—
—
251V00000X
Voluntary or Charitable Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
—
—
313M00000X
Nursing Facility/Intermediate Care Facility
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1396446787
—
SC
05
—
EY1208
—
SC
Enumeration date
03/14/2023
Last updated
10/11/2024
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