| NPI | 1740277359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | W. STEWART SWAIN Treasurer 843-902-4582 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: VA NH2704) |
| Enumeration Date | 2005-09-29 |
| Last Update Date | 2011-11-02 |