NPI Details | |
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NPI | 1093897639 |
Enumeration Date | 10/20/2006 |
Last Updated | 09/20/2011 |
Entity Type | Healthcare Provider |
Active | Over 11 years ago |
Authorized Information | |
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Name | DEANA DEANA |
Position | ADMINISTRATOR |
Phone | (803) 534-1001 |
Fax |
Practice Location | |
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1180 WOLFE TRL ORANGEBURG SC, 29115-7339, US |
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Phone | (803) 534-1001 |
Fax |
Business Location | |
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1180 WOLFE TRL ORANGEBURG SC, 29115-7339, US |
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Phone | |
Fax |
Toxanomy | |
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Taxonomy Code | 314000000X |
License State | South Carolina |
License Number | NCF-0929 |
Remove 1093897639 NPI Number |
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.
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