Organization
CENTRAL MIDLANDS ADULT DAY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROLYN WEBB-PRINCE LPN (ADMINISTRATOR)
(803) 607-9763
Entity
Organization
Contact information
Practice address
500 MILLER RD, SUMTER, SC 29150-3332
(803) 607-9763
Mailing address
500 MILLER RD, SUMTER, SC 29150-3332
(803) 607-9763
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RV6JVO1T0644MOG
—
SC
Enumeration date
04/25/2017
Last updated
04/27/2017
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