Indigo Carolina Forest
NPI #1992563597 in Myrtle Beach, South Carolina
Provider Information
- NPI Number
- 1992563597
- Entity Type
- Organization
- Organization Name
- Indigo Carolina Forest
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Mar 8, 2024
- Last Updated
- Mar 25, 2024
Practice Location
- Address
- 176 VILLAGE CENTER BLVD
- City
- Myrtle Beach
- State
- South Carolina
- ZIP Code
- 29579-5622
- Phone
- (850) 712-5566
Authorized Official
- Name
- MARISA STRAIN, RN
- Title
- CCO
- Phone
- (850) 712-5566
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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