Organization
LORIS ADULT DAY CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DONNA VALENTINE VANCE (VICE PRESIDENT)
(843) 450-3497
Entity
Organization
Contact information
Practice address
3701 MAIN ST, LORIS, SC 29569-2901
(843) 716-2425
(843) 716-2427
Mailing address
11919 PLAZA DR, MURRELLS INLET, SC 29576-9356
(843) 652-0011
(843) 369-0100
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
ADC-277
SC
Other
Enumeration date
10/12/2007
Last updated
10/12/2007
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