OrganizationActive
Assisted Living Concepts Inc
NPI 1003003393 · Assisted Living Facility · Goose Creek, SC
Provider details
- NPI number
- 1003003393
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Authorized official
- Walter Levonowich, Vice President Controller
- License
- CRC1340 (SC)
Practice location
101 Centennial Blvd
Goose Creek, SC 29445
Phone: (843) 569-2520
Fax: (843) 269-5493
Mailing address
W140 N8981 Lilly Road
Menomonee Falls, WI 53051-2325
Registry dates
- Enumerated
- 2007-10-01
- Last updated
- 2007-10-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.