Individual provider · Type 1 NPI
Cheryl Renee Gibson-Dalton, PRESIDENT AND CEO
Adult Care Home Facility · Orangeburg, SC
NPI number
1346634904
Active
Practice location
1231 Eutaw St
Orangeburg, SC 29115-3529
Fax (803) 531-6534
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility Primary | 311ZA0620X | RC1447 (SC) |
Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
About NPI 1346634904
Cheryl Renee Gibson-Dalton, PRESIDENT AND CEO's National Provider Identifier is 1346634904, issued on Mar 22, 2015. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Orangeburg, SC. The record was last updated on Mar 22, 2015.