Conway Manor, LLC
NPI #1639123748 in Conway, South Carolina
Provider Information
- NPI Number
- 1639123748
- Entity Type
- Organization
- Organization Name
- Conway Manor, LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- May 22, 2006
- Last Updated
- Jan 11, 2010
Practice Location
- Address
- 3300 4TH AVE
- City
- Conway
- State
- South Carolina
- ZIP Code
- 29527-6002
- Phone
- (843) 248-5728
Authorized Official
- Name
- MR. RAYMOND TILLER, NHA
- Title
- ADMINISTRATOR
- Phone
- (843) 248-5728
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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