Healthcare Provider Details

I. General information

NPI: 1447392352
Provider Name (Legal Business Name): SAVANNAH SENIORS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/14/2007
Last Update Date: 03/26/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2620 ALLIGATOR RD
EFFINGHAM SC
29541-4313
US

IV. Provider business mailing address

2620 ALLIGATOR RD
EFFINGHAM SC
29541-4313
US

V. Phone/Fax

Practice location:
  • Phone: 843-662-7851
  • Fax: 843-662-3140
Mailing address:
  • Phone: 843-662-7851
  • Fax: 843-662-3140

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License NumberADC219
License Number StateSC

VIII. Authorized Official

Name: MR. RALPH W CANTY SR.
Title or Position: ADMINISTRATOR
Credential:
Phone: 843-662-7851