Organization
MARTHA AND JOSIE JENKINS JR. LLC DOB ECSDC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARTHA E. JENKINS LPN (OWNER/ ADMINISTRATOR)
(843) 216-1070
Entity
Organization
Contact information
Practice address
999 LAKE HUNTER CIR STE C, MOUNT PLEASANT, SC 29464-5427
(843) 216-1070
(843) 216-2470
Mailing address
999 LAKE HUNTER CIR STE C, MOUNT PLEASANT, SC 29464-5427
(843) 216-1070
(843) 216-2470
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
15331
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
C94777C
—
SC
05
—
EN0867
—
SC
05
—
X6987
—
SC
Enumeration date
01/07/2008
Last updated
01/07/2008
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