Organization
AIJAN GRACEFULLY LLC
Active
Organization
AIJAN GRACEFULLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SILVIA C LANDRUM (OWNER)
(864) 569-8557
Entity
Organization
Contact information
Practice address
812 HELLAMS ST, FOUNTAIN INN, SC 29644-9445
(864) 569-8557
Mailing address
218 JONES RD, TAYLORS, SC 29687-4016
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
03/11/2020
Last updated
03/11/2020
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