Individual provider · Type 1 NPI
Audrey Tise Kazer
Assisted Living Facility · Chester, SC
NPI number
1790290872
Active
Practice location
570 Center Rd
Chester, SC 29706-6880
Mailing address
PO Box 1597
King, NC 27021-1597
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | RC-1399 (SC) |
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.
About NPI 1790290872
Audrey Tise Kazer's National Provider Identifier is 1790290872, issued on Dec 11, 2017. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Chester, SC. The record was last updated on Dec 11, 2017.