Organization
MOMMA & POPPA COMMUNITY RESIDENTIAL CARE FACILITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA G STEELE (OWNER/ CEO)
(843) 833-3473
Entity
Organization
Contact information
Practice address
534 MARTIN LUTHER KING RD, PAWLEYS ISLAND, SC 29585-6001
(843) 833-3473
Mailing address
719 SHEARWATER CT, UNIT 202, MURRELLS INLET, SC 29576-8686
(843) 833-3473
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
09/20/2009
Last updated
09/20/2009
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