| NPI | 1982819298 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY SCOTT MIDDLETON CEO 803-454-0365 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: SC sc1120s) |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2015-04-01 |