NPI 1417789660

Sh1 Pelham Opco LLC

Organisation Assisted Living Facility Greenville, SC

Practice location

Address: 2006 Pelham Rd, Greenville, SC 29615-4005
Phone: (864) 288-3331
Fax: (864) 286-9582
Mailing address: 5101 NE 82nd Ave STE 200, Vancouver, WA 98662-6343

Authorised official

Name: Terri Baker
Title: Finance and Licensing Coordinator
Phone: (564) 203-3620

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X

Other Assisted Living Facility providers in South Carolina →

Registry record

NPI: 1417789660
Entity type: Organization
NPI issued: 16 Aug 2024
Record last updated: 16 Aug 2024

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.