Quillen Manor Llc

NPI 1255655650 - Assisted Living Facility - 310400000X

NPI Details
NPI 1255655650
Enumeration Date 03/15/2010
Last Updated 03/15/2010
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name JERRY PHILLIP JERRY
Position EXECUTIVE DIRECTOR
Phone (864) 862-3252
Fax (864) 862-3254
Practice Location
709 QUILLEN AVE
FOUNTAIN INN SC, 29644-9444, US
Phone (864) 862-3252
Fax (864) 862-3254
Business Location
709 QUILLEN AVE
FOUNTAIN INN SC, 29644-9444, US
Phone (864) 862-3252
Fax (864) 862-3254
Toxanomy
Taxonomy Code 310400000X
License State South Carolina
License Number CRC-1321
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According to our database, Quillen Manor Llc NPI is 1255655650, taxonomy code is 310400000X and license number is CRC-1321, license state is located at South Carolina. Quillen Manor Llc physically located at 709 Quillen Ave, Fountain Inn SC, 29644-9444. NPI Number 1033115704 has the healthcare provider type.

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1255655650 NPI number is provided on an as is basis without warranty of any kind. 1255655650 is maintained by the National Plan & Provider Enumeration System. The contents of Quillen Manor Llc are for informational purposes only.