NPI | 1316972722 |
---|---|
Doing Business As | C. M. TUCKER, JR. NURSING CARE CENTER - RODDEY PAVILLION |
Entity Type | Organization |
Authorized Contact | VERSIE BELLAMY Deputy Director 803-935-5761 |
Organization Subpart ? | Yes |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: SC NCF726) |
Enumeration Date | 2006-07-12 |
Last Update Date | 2019-09-20 |