Healthcare Provider Details

I. General information

NPI: 1275099178
Provider Name (Legal Business Name): FLINT HILL COMMUNITY ADULT DAY CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/15/2019
Last Update Date: 02/15/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

371 LIGE ST
ROCK HILL SC
29730-5634
US

IV. Provider business mailing address

PO BOX 12314
ROCK HILL SC
29731-2314
US

V. Phone/Fax

Practice location:
  • Phone: 803-327-2044
  • Fax:
Mailing address:
  • Phone: 803-327-2044
  • 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: MRS. MARY THOMPSON
Title or Position: DIRECTOR
Credential:
Phone: 803-327-2044