Organization
NEW LIFE ADULT CARE INC
Active
Other names
New Life Adult Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHNATHAN SUMTER (ONWER)
(864) 991-9625
Entity
Organization
Contact information
Practice address
700 AIRPORT RD, SUITE B, GREENVILLE, SC 29607-2619
(864) 991-9625
(864) 752-1252
Mailing address
700 AIRPORT RD, SUITE B, GREENVILLE, SC 29607-2619
(864) 991-9625
(864) 752-1252
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
—
—
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
12/01/2016
Last updated
12/01/2016
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