INDIGO HALL OPERATING CO LLC NPI 1942847157

NPI Information

INDIGO HALL OPERATING CO, LLC is an assisted living facility in Charleston, SC. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. INDIGO HALL OPERATING CO, LLC NPI is 1942847157. The provider is registered as an organization entity type.

The provider's business location address is:

509 STANDARD WAY
CHARLESTON, SC
ZIP 29412-397
Phone: (843) 406-4747

The provider's authorized official is Charles E Trefzger .
The authorized official title is Manager and has the following contact phone number (828) 322-5535.

The CLIA number assigned to this NPI record is 42D2210508 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/6/2019 and was last updated on 12/6/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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