Carlyle Senior Care of Blackville LLC
NPI #1356054753 in Blackville, South Carolina
Provider Information
- NPI Number
- 1356054753
- Entity Type
- Organization
- Organization Name
- Carlyle Senior Care of Blackville LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Dec 30, 2022
- Last Updated
- Dec 30, 2022
Practice Location
- Address
- 1612 JONES BRIDGE RD
- City
- Blackville
- State
- South Carolina
- ZIP Code
- 29817-3066
- Phone
- (803) 284-4313
Authorized Official
- Name
- RICHARD CRANFORD
- Title
- MANAGER
- Phone
- (843) 799-0756
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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