| NPI | 1811192115 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN JOHNSON Chief Financial Officer 803-365-0855 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: SC NCF545) |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2023-10-10 |