Healthcare Provider Details
I. General information
NPI: 1457069676
Provider Name (Legal Business Name): SILVER LINING ADULT DAY CENTER
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/07/2022
Last Update Date: 11/07/2022
Certification Date: 11/07/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
718 W SHERWOOD DR
CHARLESTON SC
29407-6627
US
IV. Provider business mailing address
718 W SHERWOOD DR
CHARLESTON SC
29407-6627
US
V. Phone/Fax
- Phone: 843-367-5782
- Fax:
- Phone: 843-367-5782
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QA0600X |
| Taxonomy | Adult Day Care Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
LA'QUANDRA
RAMPERSANT
Title or Position: OWNER/ADMINISTRATOR
Credential: DNP
Phone: 843-367-5782