| NPI | 1700861051 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHONDA NELSON Controller 864-578-6599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: FL SNF1434096) |
| Enumeration Date | 2005-12-09 |
| Last Update Date | 2012-06-04 |