Organization
REFLECTIONS AT CAROLINA FOREST, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WALLACE DEKALB CLARDY JR. CRCFA (PRESIDENT/CEO)
(843) 903-0700
Entity
Organization
Contact information
Practice address
219 MIDDLEBURG DR, MYRTLE BEACH, SC 29579-3409
(843) 903-0700
(843) 903-0714
Mailing address
219 MIDDLEBURG DR, MYRTLE BEACH, SC 29579-3409
(843) 903-0700
(843) 903-0714
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
CRC-1456
SC
Other
Enumeration date
12/08/2010
Last updated
12/08/2010
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