| NPI | 1023558905 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE JACKSON RN 843-992-9132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: SC 235692) |
| Enumeration Date | 2017-02-27 |
| Last Update Date | 2017-02-27 |