| NPI | 1821214529 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELODY K LANDIS Physical Therapist Assistant 864-234-2951 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: SC 2065) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2020-08-22 |