Organization
CAROLINA ROSES OF BLYTHEWOOD LLC
Active
Other names
Carolina Roses
Organization subpart
No
Provider details
NPI number
Authorized official
SABREEN JOHNSON (ADMINISTRATOR)
(803) 397-1937
Entity
Organization
Contact information
Practice address
300 LONG POINTE LN STE 220-T, COLUMBIA, SC 29229-7543
(803) 397-1937
(803) 735-8112
Mailing address
PO BOX 942, ELGIN, SC 29045-0942
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
123598
SC
Other
Enumeration date
12/21/2016
Last updated
04/17/2023
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