ASSISTED LIVING CONCEPTS INC NPI 1003003393

NPI Information

ASSISTED LIVING CONCEPTS INC is an assisted living facility in Goose Creek, 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. ASSISTED LIVING CONCEPTS INC NPI is 1003003393. The provider is registered as an organization entity type.
The provider Is Doing Business As Pinewood House.

The provider's business location address is:

101 CENTENNIAL BLVD
GOOSE CREEK, SC
ZIP 29445
Phone: (843) 569-2520
Fax: (843) 269-5493

The provider's authorized official is Walter A Levonowich .
The authorized official title is Vice President Controller and has the following contact phone number (262) 257-8888.

The CLIA number assigned to this NPI record is 42D0986188 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/1/2007 and was last updated on 10/1/2007.

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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