Organization
AGING GRACEFULLY, SENIOR CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGELA IRENE ROOMAN RN (EXECUTIVE DIRECTOR)
(843) 873-5121
Entity
Organization
Contact information
Practice address
4003 LADSON RD, LADSON, SC 29456-4936
(843) 873-5121
(843) 873-5108
Mailing address
4003 LADSON RD, LADSON, SC 29456-4936
(843) 873-5121
(843) 873-5108
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
ADC0249
SC
253Z00000X
In Home Supportive Care Agency
ADC0249
SC
385H00000X
Respite Care
Primary
ADC0249
SC
Other
Enumeration date
04/29/2010
Last updated
04/29/2010
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