Organization · Type 2 NPI
Johnsonville Adult Day Center
Adult Day Care Clinic/Center · Johnsonville, SC
NPI number
1073802633
Active
Practice location
351 S. Midway Highway
Johnsonville, SC 29555
Fax (843) 380-1531
Mailing address
P.o. Box 1118
Johnsonville, SC 29555-1118
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Day Care Clinic/Center Primary | 261QA0600X | ADC0298 (SC) |
| Non-emergency Medical Transport (VAN) | 343900000X | None listed |
Adult Day Care Clinic/Center: Definition to come...
Another provider at this address
About NPI 1073802633
Johnsonville Adult Day Center's National Provider Identifier is 1073802633, issued on Apr 5, 2011. The primary taxonomy on file is Adult Day Care Clinic/Center (261QA0600X), and the practice location is in Johnsonville, SC. The record was last updated on Apr 5, 2011.