SAMARITAN BED AND BATH
Adult Care Home
Greenville, South Carolina
Provider NPI: 1578687604
Organization Information:Organization Name: SAMARITAN BED AND BATH
Practice Location:
210 W STONE AVE GREENVILLE, SC 29609 US
Tel: 864-232-6866 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
210 W STONE AVE GREENVILLE, SC 29609 US
Tel: 864-232-6866 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 311ZA0620X | Nursing & Custodial Care Facilities Custodial Care Facility Adult Care Home | SC | 006848 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
EX0808 | SC | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin