Dhec

NPI #1023558905 in Mullins, South Carolina

Provider Information

NPI Number
1023558905
Entity Type
Organization
Organization Name
Dhec
Primary Specialty
Nursing Facility/Intermediate Care Facility
Enumeration Date
Feb 27, 2017
Last Updated
Feb 27, 2017

Practice Location

Address
319 STEPHEN CT
ZIP Code
29574-4223
Phone
(843) 992-9132

Authorized Official

Name
LESLIE JACKSON
Title
RN
Phone
(843) 992-9132

Specialties & Taxonomy Codes

Specialty
Nursing Facility/Intermediate Care Facility

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