| NPI | 1497401178 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOE COMMANDER Administrator 843-669-3502 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility |
| 385H00000X Respite Care | |
| Enumeration Date | 2022-02-22 |
| Last Update Date | 2022-02-22 |