Organization
CAC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD COOKE (PRESIDENT)
(843) 759-0025
Entity
Organization
Contact information
Practice address
702 W 3RD AVE, LAKE VIEW, SC 29563-3302
(843) 759-9099
Mailing address
702 W 3RD AVE, LAKE VIEW, SC 29563-3302
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
RC0626
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RC0626
—
SC
Enumeration date
09/26/2007
Last updated
07/15/2008
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