| NPI | 1568631695 |
|---|---|
| Doing Business As | C M TUCKER JR NURSING CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | RONALD E PRIER Executive Director 803-898-4802 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: SC NCF334) |
| Enumeration Date | 2008-02-22 |
| Last Update Date | 2009-06-08 |