| NPI | 1962401604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HANY JOSEPH HANNA Administrator 843-479-6251 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: SC 0521NH) |
| Enumeration Date | 2005-07-15 |
| Last Update Date | 2007-10-19 |