Organization
NEW LIFE ADULT CARE INC
Active
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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