Carlyle Senior Care of Fountain Inn,llc
NPI #1417961715 in Fountain Inn, South Carolina
Provider Information
- NPI Number
- 1417961715
- Entity Type
- Organization
- Organization Name
- Carlyle Senior Care of Fountain Inn,llc
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Jul 29, 2006
- Last Updated
- Oct 20, 2016
Practice Location
- Address
- 501 GULLIVER ST
- City
- Fountain Inn
- State
- South Carolina
- ZIP Code
- 29644-2105
- Phone
- (864) 862-2554
Authorized Official
- Name
- MR. RICHARD S CRANFORD
- Title
- CEO
- Phone
- (864) 862-2554
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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