Fountain Inn Healthcare, LLC
NPI #1912630120 in Fountain Inn, South Carolina
Provider Information
- NPI Number
- 1912630120
- Entity Type
- Organization
- Organization Name
- Fountain Inn Healthcare, LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Jul 5, 2022
- Last Updated
- Aug 22, 2024
Practice Location
- Address
- 501 GULLIVER ST
- City
- Fountain Inn
- State
- South Carolina
- ZIP Code
- 29644-2105
- Phone
- (864) 862-2554
Authorized Official
- Name
- JOHN MITCHELL
- Title
- SECRETARY
- Phone
- (385) 988-3319
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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