Organization
CARLYLE SENIOR CARE OF KINGSTREE,LLC
Active
Other names
Kingstree Nursing Facility
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD CRANFORD (CFO)
(843) 799-0756
Entity
Organization
Contact information
Practice address
401 NELSON BLVD, KINGSTREE, SC 29556-4024
(843) 355-6116
(843) 355-2261
Mailing address
401 NELSON BLVD, KINGSTREE, SC 29556-4024
(843) 355-6116
(843) 355-2261
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145223
—
SC
Enumeration date
07/29/2006
Last updated
02/10/2026
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