Blackville Healthcare and Rehab, LLC
NPI #1477546182 in Blackville, South Carolina
Provider Information
- NPI Number
- 1477546182
- Entity Type
- Organization
- Organization Name
- Blackville Healthcare and Rehab, LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Aug 27, 2005
- Last Updated
- Oct 17, 2019
Practice Location
- Address
- 1612 JONES BRIDGE RD
- City
- Blackville
- State
- South Carolina
- ZIP Code
- 29817-3066
- Phone
- (803) 284-4313
Authorized Official
- Name
- HAIM CY PIZAM
- Title
- MANAGING MEMBER
- Phone
- (407) 454-9096
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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