Organization
CONWAY ADULT DAY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DONNA VALENTINE VANCE II (VICE PRESIDENT OF OPERATIONS)
(843) 450-3497
Entity
Organization
Contact information
Practice address
2300 CHURCH ST, SUITE 15, CONWAY, SC 29526-2929
(843) 369-2273
(843) 369-0100
Mailing address
11919 PLAZA DR, MURRELLS INLET, SC 29576-9356
(843) 652-0011
(843) 369-0100
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
ADC165
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
EXO 533
—
SC
Enumeration date
01/04/2007
Last updated
08/22/2020
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