Palmetto Jolley Acres Operating LLC
NPI #1093897639 in Orangeburg, South Carolina
Provider Information
- NPI Number
- 1093897639
- Entity Type
- Organization
- Organization Name
- Palmetto Jolley Acres Operating LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Oct 20, 2006
- Last Updated
- Sep 20, 2011
Practice Location
- Address
- 1180 WOLFE TRL
- City
- Orangeburg
- State
- South Carolina
- ZIP Code
- 29115-7339
- Phone
- (803) 534-1001
Authorized Official
- Name
- DEANA HOUSER
- Title
- ADMINISTRATOR
- Phone
- (803) 534-1001
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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