| NPI | 1871533588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNDON W ELLENBURG Administrator 864-226-5054 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: SC NCF-231) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2008-04-17 |