Healthcare Provider Details

I. General information

NPI: 1104734946
Provider Name (Legal Business Name): LONGS RESIDENTIAL CARE CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5760 DENNY HWY
SALUDA SC
29138-9629
US

IV. Provider business mailing address

5760 DENNY HWY
SALUDA SC
29138-9629
US

V. Phone/Fax

Practice location:
  • Phone: 864-445-7901
  • Fax:
Mailing address:
  • Phone: 864-445-7901
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: MS. MARY JANET LONG
Title or Position: ADMINISTRATOR
Credential:
Phone: 864-445-7901