Mary Rc F #3

NPI #1225801657 in Blythewood, South Carolina

Provider Information

NPI Number: 1225801657
Entity Type: Organization
Organization Name: Mary Rc F #3
Primary Specialty: Assisted Living Facility - Assisted Living, Mental Illness
Enumeration Date: Nov 7, 2023
Last Updated: Nov 7, 2023

Practice Location

Address: 10219 FARROW RD
City: Blythewood
State: South Carolina
ZIP Code: 29016
Phone: (803) 683-7972

Authorized Official

Name: MRS. MARY D. BACOTE
Title: OWNER
Phone: (803) 556-9813

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Assisted Living Facility - Assisted Living, Mental Illness — Assisted Living, Mental Illness	3104A0625X	Primary

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