Provider Demographics
NPI:1124988597
Name:SWEET LOUISE ADULT DAY CARE CENTER LLC
Entity type:Organization
Organization Name:SWEET LOUISE ADULT DAY CARE CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHANECA
Authorized Official - Middle Name:ANNETTE
Authorized Official - Last Name:LINDSEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:864-787-7122
Mailing Address - Street 1:296 EARLE DR
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29611-4408
Mailing Address - Country:US
Mailing Address - Phone:864-787-7122
Mailing Address - Fax:864-752-5212
Practice Address - Street 1:116 KAY DR STE B
Practice Address - Street 2:
Practice Address - City:EASLEY
Practice Address - State:SC
Practice Address - Zip Code:29640-8997
Practice Address - Country:US
Practice Address - Phone:864-787-7122
Practice Address - Fax:864-752-5212
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-17
Last Update Date:2025-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care