NPI | 1780899377 |
---|---|
Entity Type | Organization |
Authorized Contact | WARREN E HAMMETT CEO 803-245-6228 |
Organization Subpart ? | No |
Primary Taxonomy | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric (Licence: SC 377956) |
Enumeration Date | 2007-05-14 |
Last Update Date | 2007-07-13 |