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MARANATHA MANOR OF SPARTANBURG, INC

Assisted Living Facility

Spartanburg, South Carolina

Provider NPI: 1962480186

Organization Information:
Organization Name:  MARANATHA MANOR OF SPARTANBURG, INC


Practice Location:
2902 E MAIN STREET EXT  SPARTANBURG, SC 29307 US
Tel: 864-579-0086  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y310400000XNursing & Custodial Care Facilities
Assisted Living Facility
SCCRC1235

Other Provider Identifiers:

IssuerNumberStateType
RC1235SC05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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