Individual provider · Type 1 NPI
Vernell Dottery
Assisted Living Facility · Eutawville, SC
NPI number
1104388909
Active
Practice location
12488 Old Number Six Hwy
Eutawville, SC 29048-9167
Mailing address
8094 N Highway 17
Mc Clellanville, SC 29458-9414
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | None listed |
Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
Another provider at this address
About NPI 1104388909
Vernell Dottery's National Provider Identifier is 1104388909, issued on Apr 2, 2019. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Eutawville, SC. The record was last updated on Apr 2, 2019.