Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lake Wylie

Organization Assisted Living Facility · NPI 1720200884

Lake Wylie is an Assisted Living Facility in Lake Wylie, South Carolina. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

4877 Charlotte Hwy
Lake Wylie, SC 29710
Phone: (803) 831-9900
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X

Record details

NPI number1720200884
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jon Harder — President · (503) 486-8697
NPI enumeratedMay 2, 2007
Last updated in NPPESAugust 22, 2020
Mailing addressPo Box 3006, Salem, OR 97302