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Organization
PALMETTO LAKE CITY OPERATING LLC
Active
Organization
PALMETTO LAKE CITY OPERATING LLC
Active
Other names
Lake City Healthcare Center
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN GOLDSMITH (ADMINISTRATOR)
(843) 389-9201
Entity
Organization
Contact information
Practice address
1940 BOYD RD, SCRANTON, SC 29591-5835
(843) 389-9201
(843) 389-9202
Mailing address
1940 BOYD RD, SCRANTON, SC 29591-5835
(843) 389-9201
(843) 389-9202
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NCF-846
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0928NF
—
SC
Enumeration date
10/24/2006
Last updated
12/30/2014
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