CLARENDON MEMORIAL HOSPITAL
Assisted Living Facility
Saint Stephen, South Carolina
Provider NPI: 1043291263
Organization Information:Organization Name: CLARENDON MEMORIAL HOSPITAL
Practice Location:
1038 MCGILL LN SAINT STEPHEN, SC 29479 US
Tel: 843-567-2307 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:
1038 MCGILL LN SAINT STEPHEN, SC 29479 US
Tel: 843-567-2307 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | SC | NCF738 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
0738NF | SC | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin