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NL & JR INCORPORATED NPI 1881034247


NPI Information

NPI: 1881034247
Provider Name: NL & JR INCORPORATED

Doing Business As: GOOSE CREEK MANOR

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
104 MARILYN ST
GOOSE CREEK, SC
ZIP 29445
Phone: (843) 572-7442
Get Directions

NL & JR INCORPORATED 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. NL & JR INCORPORATED NPI is 1881034247. The provider is registered as an organization entity type.
The provider Is Doing Business As Goose Creek Manor.

The provider's business location address is:

104 MARILYN ST
GOOSE CREEK, SC
ZIP 29445-104
Phone: (843) 572-7442

The provider's authorized official is Leticia Dedios .
The authorized official title is Administrator and has the following contact phone number (843) 572-7442.

The enumeration date for this NPI number is 7/1/2013 and was last updated on 7/1/2013.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1310400000XAssisted Living FacilityCRC0639SOUTH CAROLINANo
2310400000XAssisted Living FacilityCRC0762SOUTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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