Organization
OLANIYAN, LLC
Active
Other names
Tucker's Adult Health Day Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RADICLANI CLYTUS (OWNER)
(843) 542-9290
Entity
Organization
Contact information
Practice address
112 CARN ST, WALTERBORO, SC 29488-3923
(843) 549-5207
(843) 549-5207
Mailing address
112 CARN ST, WALTERBORO, SC 29488-3923
(843) 549-5207
(843) 549-5207
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
EX0547
—
SC
Enumeration date
04/23/2007
Last updated
01/30/2023
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