Organization
MARY'S RCF #3
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VALENCIA W ANDERSON (ADMINISTRATOR)
(803) 683-7972
Entity
Organization
Contact information
Practice address
10219 FARROW RD, BLYTHEWOOD, SC 29016-9612
(803) 683-7972
Mailing address
10219 FARROW RD, BLYTHEWOOD, SC 29016-9612
(803) 683-7972
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
—
Other
Enumeration date
02/06/2024
Last updated
02/06/2024
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