Organization
RE-LAX AT HOME RESIDENTIAL ASSISTED LIVING
Active
Other names
Casual Community Care Home
Organization subpart
No
Provider details
NPI number
Authorized official
LAVENE SMITH (OWNER/OPERATOR)
(803) 465-0446
Entity
Organization
Contact information
Practice address
112 GOODRICH ST, COLUMBIA, SC 29223-7725
(803) 465-0446
(803) 845-4761
Mailing address
112 GOODRICH ST, COLUMBIA, SC 29223-7725
(803) 465-0446
(803) 845-4761
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
07/12/2024
Last updated
07/12/2024
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