Provider Demographics
NPI:1164819132
Name:PROMISE KEPT LLC
Entity Type:Organization
Organization Name:PROMISE KEPT LLC
Other - Org Name:QUIET ACRES PERSONAL CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:MULLINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:864-378-3848
Mailing Address - Street 1:173 MAGGIE LN
Mailing Address - Street 2:
Mailing Address - City:ABBEVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29620-4603
Mailing Address - Country:US
Mailing Address - Phone:864-378-3848
Mailing Address - Fax:
Practice Address - Street 1:2968 OLD DOUGLAS MILL RD
Practice Address - Street 2:
Practice Address - City:HODGES
Practice Address - State:SC
Practice Address - Zip Code:29653-8930
Practice Address - Country:US
Practice Address - Phone:864-446-2264
Practice Address - Fax:864-446-3769
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-17
Last Update Date:2015-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCCRC 0588310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility