| NPI Details | |
|---|---|
| NPI | 1093897639 |
| Enumeration Date | 10/20/2006 |
| Last Updated | 09/20/2011 |
| Entity Type | Healthcare Provider |
| Active | Over 11 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 |
| 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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