| NPI | 1831109164 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE L WHITE Administrator 843-884-8903 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: SC NCF896) |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2010-01-07 |