| NPI | 1720209604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN E MENDES President CEO 803-799-3999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2022-07-21 |