# SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SOUTH CAROLINA DEPT OF MENTAL HEALTH
- **Other names:** C. M. Tucker, Jr. Nursing Care Center - Stone & Fewell Pavillions
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1437179785
- **Legal business name:** SOUTH CAROLINA DEPT OF MENTAL HEALTH
- **Authorized official:** VERSIE BELLAMY (DEPUTY DIRECTOR)
- **Authorized official phone:** (803) 935-5761

## Contact information

- **Practice address:** 2200 HARDEN ST, COLUMBIA, SC 29203-7107
- **Practice address phone:** (803) 898-8405
- **Mailing address:** PO BOX 485, COLUMBIA, SC 29202-0485
- **Mailing address phone:** (803) 898-8405

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | NCF334 | SC | Yes |

## Other

- **Enumeration date:** 07/20/2006
- **Last updated:** 09/20/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 136078 | — | SC |