Conway Manor, LLC
Skilled Nursing Facility in Conway, SC. Organization (NPI-2).
NPI number1639123748
StatusActive
Last updated in NPPESJan 11, 2010
Details
- NPI
- 1639123748
- Entity type
- Organization (NPI-2)
- Legal business name
- Conway Manor, LLC
- Organization subpart
- No
- Enumeration date
- May 22, 2006
- Last updated
- Jan 11, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | NCF-899 | SC | Yes |
Practice location
3300 4th AveConway, SC 29527-6002
Phone 843-248-5728 · Fax 843-248-6698
Mailing address
3300 4th AveConway, SC 29527-6002
Phone 843-248-5728 · Fax 843-248-6698
Authorized official
Raymond Tiller
Administrator
8432485728
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