Liberty Commons Of Cheraw, LLC
Skilled Nursing Facility in Cheraw, SC. Organization (NPI-2).
NPI number1982302121
StatusActive
Last updated in NPPESFeb 17, 2023
Details
- NPI
- 1982302121
- Entity type
- Organization (NPI-2)
- Legal business name
- Liberty Commons Of Cheraw, LLC
- Organization subpart
- No
- Enumeration date
- Feb 17, 2023
- Certification date
- Feb 13, 2023
- Last updated
- Feb 17, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | – | – | Yes |
Other names
- Cheraw Healthcare (Doing Business As)
Practice location
400 Moffat RoadCheraw, SC 29520
Phone 843-537-5253
Mailing address
44 McNeill PlzWhiteville, NC 28472-8602
Phone 910-642-0224 · Fax 910-642-8537
Authorized official
Jeffrey Wilson
Chief Operating Officer
9108153122
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