Provider Demographics
NPI:1851426894
Name:YORK COUNTY ADULT DAY CARE SERVICES, INC.
Entity Type:Organization
Organization Name:YORK COUNTY ADULT DAY CARE SERVICES, INC.
Other - Org Name:ADULT ENRICHMENT CENTERS OF FORT MILL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXDIR/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:FRIEDA
Authorized Official - Middle Name:CALK
Authorized Official - Last Name:PRICE
Authorized Official - Suffix:
Authorized Official - Credentials:RN, MSN
Authorized Official - Phone:803-327-7448
Mailing Address - Street 1:105 LESTINA DR
Mailing Address - Street 2:
Mailing Address - City:FORT MILL
Mailing Address - State:SC
Mailing Address - Zip Code:29715-1985
Mailing Address - Country:US
Mailing Address - Phone:803-396-5336
Mailing Address - Fax:803-396-5352
Practice Address - Street 1:105 LESTINA DR
Practice Address - Street 2:
Practice Address - City:FORT MILL
Practice Address - State:SC
Practice Address - Zip Code:29715-1985
Practice Address - Country:US
Practice Address - Phone:803-396-5336
Practice Address - Fax:803-396-5352
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-22
Last Update Date:2014-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCADC223261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCEX0666Medicaid