| NPI | 1366848715 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAATIMAH MALIKA PATTERSON Speech Language Pathologist 803-413-3947 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: GA PCET002042) |
| Enumeration Date | 2014-11-12 |
| Last Update Date | 2014-11-12 |