| Organization Name: | MARLBORO ADULT CARE INC |
| NPI Number: | 1174662134 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DENISE P WASHINGTON (ADMINISTRATOR) |
| Mailing Address: | 1039 Cheraw Street Bennettsville |
| State: | SC US |
| Postal Code: | 295122422 |
| Phone Number: | 8434790603 |
| Fax Number: | 8434790081 |
| NPI Enumeration Date: | 02/06/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA0600X |
| License Number: | ADC 243 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SC |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Adult Day Care |
| Taxonomy Definition: | |