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Organization

LAKE CITY COMMUNITY DAY SERVICES, INC.

Active
Other names
Genesis I Adult Day Care Services, Inc
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. EARLINE JAMES (DIRECTOR/OWNER)
(843) 374-8088
Entity
Organization

Contact information

Practice address
411 S BLANDING ST, POB517, LAKE CITY, SC 29560-3513
(843) 374-8088
(843) 374-5388
Mailing address
PO BOX 517, 411 S BLANDING STREET, LAKE CITY, SC 29560
(843) 374-8088
(843) 374-5388

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5862700001
SC
Enumeration date
05/18/2007
Last updated
04/14/2010
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