| NPI | 1750448858 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY F. MATTHEWS Administrator 864-487-2717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: SC NCF323) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: SC CRC729) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2008-06-13 |