Martha and Josie Jenkins Jr. LLC Dob Ecsdc

NPI #1689859837 in Mount Pleasant, South Carolina

Provider Information

NPI Number
1689859837
Entity Type
Organization
Organization Name
Martha and Josie Jenkins Jr. LLC Dob Ecsdc
Primary Specialty
Custodial Care Facility
Enumeration Date
Jan 7, 2008
Last Updated
Jan 7, 2008

Practice Location

Address
999 LAKE HUNTER CIR STE C
ZIP Code
29464-5427
Phone
(843) 216-1070

Authorized Official

Name
MRS. MARTHA E. JENKINS, LPN
Title
OWNER/ ADMINISTRATOR
Phone
(843) 216-1070

Specialties & Taxonomy Codes

Specialty
Custodial Care Facility

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