Organization
CONWAY ADULT DAY CARE
Active
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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