Loris Adult Day Care, LLC

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

ADC-277 Issued in SC

Legal business name

LORIS ADULT DAY CARE, LLC

Practice address

3701 Main St
Loris, SC 29569-2901

Phone

(843) 716-2425

Fax

(843) 716-2427

NPI assigned

Oct 12, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Donna Valentine Vance

Title

Vice President

Phone

(843) 450-3497

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1192147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192147200000",
    "number": "1659569895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11919 PLAZA DR",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295769356",
            "telephone_number": "843-652-0011",
            "fax_number": "843-369-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 MAIN ST",
            "city": "LORIS",
            "state": "SC",
            "postal_code": "295692901",
            "telephone_number": "843-716-2425",
            "fax_number": "843-716-2427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LORIS ADULT DAY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-12",
        "last_updated": "2007-10-12",
        "status": "A",
        "authorized_official_last_name": "VANCE",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "VALENTINE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "843-450-3497",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "SC",
            "license": "ADC-277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Little River Medical Center, Inc.
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• Alexander C Logan III, MD
• Denise Logan, MS RD LD
• John C Lohlun, MD
• Loris Anesthesia and Pain Treatment, PLLC
• Loris Community Hospital District
• Loris Community Hospital District
• Loris Community Hospital District
• Loris Community Hospital District

• Adult Day Care Clinic/Center in Loris, SC
• Providers in Loris, SC by specialty
• Adult Day Care Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.