Organization
LAKE CITY COMMUNITY DAY SERVICES, INC.
Active
Other names
Genesis I Adult Day Care Services, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EARLINE JAMES (DIRECTOR/OWNER)
(843) 374-8088
Entity
Organization
Contact information
Practice address
411 S BLANDING ST, POB 517, LAKE CITY, SC 29560-3513
(184) 337-4808
(784) 337-4538
Mailing address
PO BOX 517, 411 S BLANDING ST, LAKE CITY, SC 29560
(843) 374-8088
(843) 374-5388
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
SDC-252
SC
Other
Enumeration date
10/27/2006
Last updated
04/14/2010
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