| NPI | 1275871345 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDY SMILEY District Superintendent 843-386-2358 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric (Licence: SC 43863) |
| Enumeration Date | 2013-01-24 |
| Last Update Date | 2013-01-24 |