NPI | 1730174335 |
---|---|
Entity Type | Organization |
Authorized Contact | ANNE O WINN Administrator 864-466-0350 |
Organization Subpart ? | No |
Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility |
Enumeration Date | 2005-09-20 |
Last Update Date | 2008-03-06 |