Organization · Type 2 NPI
Lucille Manor Community Residential Care, LLP
Mental Illness Community Based Residential Treatment Facility · Eastover, SC
NPI number
1124586599
Active
Practice location
1004 R L Coward Rd
Eastover, SC 29044-9455
Mailing address
27 Carriage Oaks Ct
Columbia, SC 29229-9300
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Community Based Residential Treatment Facility Primary | 320800000X | None listed |
Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Another provider at this address
About NPI 1124586599
Lucille Manor Community Residential Care, LLP's National Provider Identifier is 1124586599, issued on Mar 5, 2019. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Eastover, SC. The record was last updated on Mar 5, 2019.