| Organization Name: | PALMETTO SENIOR DAYCARE |
| NPI Number: | 1013113281 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GOWDHAMI MOHAN (OWNER) |
| Mailing Address: | 1403 East Greenville Street Suite D Anderson |
| State: | SC US |
| Postal Code: | 296212049 |
| Phone Number: | 8642222770 |
| Fax Number: | 8642222780 |
| NPI Enumeration Date: | 06/25/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA0600X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Adult Day Care |
| Taxonomy Definition: | |