Provider Demographics
NPI:1841635091
Name:LOWCOUNTRY BETTER LIFE ASSOCIATION
Entity type:Organization
Organization Name:LOWCOUNTRY BETTER LIFE ASSOCIATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DR./EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:SHARON
Authorized Official - Last Name:SANDERS
Authorized Official - Suffix:
Authorized Official - Credentials:DOCTORATE OF DIVINIT
Authorized Official - Phone:803-450-0773
Mailing Address - Street 1:PO BOX 885
Mailing Address - Street 2:
Mailing Address - City:BARNWELL
Mailing Address - State:SC
Mailing Address - Zip Code:29812-0885
Mailing Address - Country:US
Mailing Address - Phone:803-450-0773
Mailing Address - Fax:
Practice Address - Street 1:3517 US HIGHWAY 278
Practice Address - Street 2:
Practice Address - City:BARNWELL
Practice Address - State:SC
Practice Address - Zip Code:29812-0885
Practice Address - Country:US
Practice Address - Phone:803-450-0773
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-01
Last Update Date:2013-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care