Palmetto Senior Care Shandon
Custodial Care Facility, Adult Care Home in Columbia, SC. Organization (NPI-2).
NPI number1801241971
StatusActive
Last updated in NPPESApr 26, 2016
Details
- NPI
- 1801241971
- Entity type
- Organization (NPI-2)
- Legal business name
- Palmetto Senior Care Shandon
- Organization subpart
- Yes
- Enumeration date
- Apr 26, 2016
- Last updated
- Apr 26, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 311ZA0620X | Custodial Care Facility, Adult Care Home | 19802 | SC | Yes |
Practice location
1100 Shirley St Ste 1Columbia, SC 29205-1370
Phone 803-252-1979
Mailing address
1100 Shirley St Ste 1Columbia, SC 29205-1370
Phone 803-252-1979
Authorized official
John Egbert
Pace Executive MD
8032521979
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