DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

AUDREY TISE KAZER

Active Sole Proprietor

AUDREY TISE KAZER is a Assisted Living Facility healthcare provider located in CHESTER, South Carolina. NPI 1790290872 is currently active in the NPPES registry. Verify at CMS.

Assisted Living Facility · CHESTER, SC

Registration Details

NPI Number
1790290872
Provider Type
Individual
Gender
Female
NPI Issued
Dec 11, 2017 (8.6901975172097 yrs)
Last Updated
Dec 11, 2017
License
RC-1399 (SC)
Sole Proprietor
Yes

Practice Information

Address
570 CENTER RD
CHESTER, SC, 297066880
Browse SC providers · Browse ZIP 29706
Phone
3367491015
Primary Specialty
Assisted Living Facility
310400000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.