Organization
SPARTANBURG SENIOR CARE
Active
Other names
Piedmont Adult Day Care
Organization subpart
No
Provider details
NPI number
Authorized official
ROXIE J AMBURN (ASSISTANT DIRECTOR)
(864) 579-7446
Entity
Organization
Contact information
Practice address
2375 E MAIN ST, SUITE A-307, SPARTANBURG, SC 29307-1434
(864) 579-7446
(864) 579-8770
Mailing address
2375 E. MAIN ST., SUITE A-307, SPARTANBURG, SC 29307-1435
(864) 579-7446
(864) 579-8770
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
ADC-156
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
EX0514
—
SC
Enumeration date
06/23/2006
Last updated
08/22/2020
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