Palmetto Jolley Acres Operating Llc

NPI 1093897639 - Skilled Nursing Facility - 314000000X

NPI Details
NPI 1093897639
Enumeration Date 10/20/2006
Last Updated 09/20/2011
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name DEANA DEANA
Position ADMINISTRATOR
Phone (803) 534-1001
Fax
Practice Location
1180 WOLFE TRL
ORANGEBURG SC, 29115-7339, US
Phone (803) 534-1001
Fax
Business Location
1180 WOLFE TRL
ORANGEBURG SC, 29115-7339, US
Phone
Fax
Toxanomy
Taxonomy Code 314000000X
License State South Carolina
License Number NCF-0929
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According to our database, Palmetto Jolley Acres Operating Llc NPI is 1093897639, taxonomy code is 314000000X and license number is NCF-0929, license state is located at South Carolina. Palmetto Jolley Acres Operating Llc physically located at 1180 Wolfe Trl, Orangeburg SC, 29115-7339. NPI Number 1033115704 has the healthcare provider type.

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1093897639 NPI number is provided on an as is basis without warranty of any kind. 1093897639 is maintained by the National Plan & Provider Enumeration System. The contents of Palmetto Jolley Acres Operating Llc are for informational purposes only.