Organization
PARADISE POINTE RESIDENTIAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BERNICE MONTGOMERY (CEO/ADMINISTRATAR)
(803) 481-0181
Entity
Organization
Contact information
Practice address
1041 COCKERILL RD, SUMTER, SC 29154-8893
(803) 481-0181
(803) 774-0149
Mailing address
2485 EDMUNDS DR, SUMTER, SC 29154-7077
(803) 774-0147
(803) 774-0149
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/17/2017
Last updated
11/17/2017
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