| NPI | 1477851285 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADGER RYAN MOORE Physical Therapist Assistant 864-574-8527 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: SC 1931) |
| Additional Taxonomies | 261QH0100X Clinic/Center Health Service (Licence: SC 1931) |
| 273Y00000X Rehabilitation Unit (Licence: SC 1931) | |
| 282E00000X Long Term Care Hospital (Licence: SC 1931) | |
| Enumeration Date | 2011-03-02 |
| Last Update Date | 2011-03-02 |