Organization
ROSEWOOD ASSISTED LIVING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIMBERLY HOWELL CLOBES M.L.A., CRCFA (OWNER/ADMINISTRATOR)
(864) 573-4060
Entity
Organization
Contact information
Practice address
5221 HIGHWAY 215, PAULINE, SC 29374
(864) 573-4060
(864) 573-1050
Mailing address
5221 HIGHWAY 215, PAULINE, SC 29374
(864) 573-4060
(864) 573-1050
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
CRC1367
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CRC1367
SC DHHS OSS MEDICAID PROGRAM FOR COMMUNITY RESIDENTIAL CARE FACILITIES
SC
Enumeration date
06/25/2013
Last updated
06/25/2013
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