NPI 1023558905

Dhec

Organisation Nursing Facility/Intermediate Care Facility Mullins, SC

Practice location

Address: 319 Stephen CT, Mullins, SC 29574-4223
Phone: (843) 992-9132

Authorised official

Name: Leslie Jackson
Title: RN
Phone: (843) 992-9132

Registered specialties

Nursing Facility/Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 313M00000X Licence 235692 (SC)

Other Nursing Facility/Intermediate Care Facility providers in South Carolina →

Registry record

NPI: 1023558905
Entity type: Organization
NPI issued: 27 Feb 2017
Record last updated: 27 Feb 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.