Organization
DAILY LIVING ADC LLC
Active
Organization
DAILY LIVING ADC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAVONYA WILLIAMS (OWNER)
(843) 206-9042
Entity
Organization
Contact information
Practice address
1307 N LONGSTREET ST, KINGSTREE, SC 29556-2739
(843) 206-9042
Mailing address
1307 N LONGSTREET ST, KINGSTREE, SC 29556-2739
(843) 206-9042
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
EN1760
—
SC
Enumeration date
11/07/2018
Last updated
04/17/2020
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