| NPI | 1093967218 |
|---|---|
| Former Legal Business Name | BANYAN GREENVILLE NURSING SERVICES, LLC |
| Entity Type | Organization |
| Authorized Contact | DONALD O. THOMPSON CEO 704-246-1616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: SC NCF-0956) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: SC CRC-1490) |
| 310400000X Assisted Living Facility | |
| 311500000X Alzheimer Center (Dementia Center) | |
| 314000000X Skilled Nursing Facility | |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2014-10-14 |