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Organization
CLARENDON MEMORIAL HOSPITAL
Active
Organization
CLARENDON MEMORIAL HOSPITAL
Active
Other names
Lake Moultrie Nursing Facility, Lake Moultrie Health and Rehab Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHRISTIE H BROWDER (CFO)
(803) 433-2005
Entity
Organization
Contact information
Practice address
1038 MCGILL LN, SAINT STEPHEN, SC 29479-3196
(843) 567-2307
(843) 567-2305
Mailing address
PO BOX 1108, SAINT STEPHEN, SC 29479-1108
(843) 567-2307
(846) 567-2305
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NCF738
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0738NF
—
SC
Enumeration date
11/07/2005
Last updated
02/08/2022
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