OrganizationActive
Wide Awake Center and Community Outreach
NPI 1053293225 · Personal Care Attendant · Ravenel, SC
Provider details
- NPI number
- 1053293225
- Entity type
- Organization
- Primary specialty
- Personal Care AttendantNursing Service Related Providers
- Organization subpart
- No
- Authorized official
- Cassandra Smith, Director(843) 475-5605
Specialties & taxonomies
Nursing Service Related Providers
- Social Worker104100000X
Behavioral Health & Social Service Providers
- Contractor171W00000X
Other Service Providers
- Home Modifications Contractor171WH0202X
Other Service Providers
- Meals Provider174200000X
Other Service Providers
- Health Educator174H00000X
Other Service Providers
- Lodging Provider177F00000X
Other Service Providers
Practice location
6005 Center Station Ct
Ravenel, SC 29470-5681
Phone: (843) 475-5605
Approximate (ZIP-level) locationGet directions
Mailing address
1640 Bertha Marie Ln
Wadmalaw Island, SC 29487-7188
Additional practice locations (1)
- 6332 Savannah HwyRavenel, SC 29470-5517
Registry dates
- Enumerated
- 2025-07-21
- Last updated
- 2025-07-21
- Certified
- 2025-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.