Quillen Manor LLC
NPI #1255655650 in Fountain Inn, South Carolina
Provider Information
- NPI Number
- 1255655650
- Entity Type
- Organization
- Organization Name
- Quillen Manor LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Mar 15, 2010
- Last Updated
- Mar 15, 2010
Practice Location
- Address
- 709 QUILLEN AVE
- City
- Fountain Inn
- State
- South Carolina
- ZIP Code
- 29644-9444
- Phone
- (864) 862-3252
Authorized Official
- Name
- MR. JERRY PHILLIP RICHMOND
- Title
- EXECUTIVE DIRECTOR
- Phone
- (864) 862-3252
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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