NPI 1477981199

Supplemental Healthcare

Organisation Nursing Facility/Intermediate Care Facility Easley, SC

Practice location

Address: 200 Tulip Tree CT, Easley, SC 29642-7600
Phone: (864) 617-2584

Authorised official

Name: Holly Mathis
Title: Staffing Manager
Phone: (877) 571-2124

Registered specialties

Nursing Facility/Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 313M00000X Licence RCP5096 (SC)

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

Registry record

NPI: 1477981199
Entity type: Organization
NPI issued: 15 Oct 2013
Record last updated: 15 Oct 2013

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.