| NPI | 1619902277 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | J B KINNEY Manager 864-226-8356 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: SC NCF-802) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2008-02-22 |