NPI | 1588941520 |
---|---|
Doing Business As | LORIS EXTENDED CARE CENTER |
Entity Type | Organization |
Authorized Contact | SAMUEL FULTON ERVIN Sr VP And CFO 843-777-2910 |
Organization Subpart ? | Yes |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: SC NCF207) |
Enumeration Date | 2011-11-04 |
Last Update Date | 2019-02-25 |