Healthcare Provider Details

I. General information

NPI: 1003537317
Provider Name (Legal Business Name): NORA'S CARING COMPANIONS ADULT DAY CARE CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/06/2022
Last Update Date: 09/06/2022
Certification Date: 09/06/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

460 HIGHWAY 9 W
BENNETTSVILLE SC
29512-2122
US

IV. Provider business mailing address

2821 CARRIAGE LN
FLORENCE SC
29505-6493
US

V. Phone/Fax

Practice location:
  • Phone: 843-679-7089
  • Fax:
Mailing address:
  • Phone: 843-679-7089
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. NORA L JENKINS
Title or Position: OWNER/ADMINISTRATOR
Credential: RN, BSN
Phone: 843-679-7089