| NPI | 1063413219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAROLD D. BRANTON Administrator 843-293-1137 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: SC NCF573) |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2020-08-22 |