NPI | 1528062544 |
---|---|
Doing Business As | KINGSTON NURSING CENTER |
Entity Type | Organization |
Authorized Contact | LAURA L. FOWLER Administrator 843-347-8179 |
Organization Subpart ? | Yes |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: SC NCF-518) |
Enumeration Date | 2005-06-08 |
Last Update Date | 2011-12-30 |