Organization
MAGNOLIA ADULT DAY CENTER,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHIRLEY GREENE (OWNER/ASST. ADMINISTRATOR)
(803) 934-6036
Entity
Organization
Contact information
Practice address
20 S MAGNOLIA ST, SUMTER, SC 29150-5243
(803) 778-1086
Mailing address
142 PERKINS AVE, SUMTER, SC 29150-6829
(803) 934-6036
(803) 778-1086
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
ADC-0285
SC
Other
Enumeration date
02/05/2009
Last updated
02/05/2009
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