NPI 1225294077

Emeritus

Organisation Assisted Living Facility Greenville, SC

Practice location

Address: 23 Southpointe Dr, Greenville, SC 29607-5956
Phone: (864) 675-0220
Fax: (864) 675-6363

Authorised official

Name: Kelly Forrest
Title: Executive Director
Phone: (864) 675-0220

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X Licence CRC1335 (SC)

Other Assisted Living Facility providers in South Carolina →

Registry record

NPI: 1225294077
Entity type: Organization
NPI issued: 31 Jul 2008
Record last updated: 31 Jul 2008

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.