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Organization
WOODRUFF MANOR
Active
Organization
WOODRUFF MANOR
Active
Parent organization
SPARTANBURG REGIONAL HEALTH SERVICES DISTRICT, INC.
Other names
Woodruff Manor
Organization subpart
Yes
Provider details
NPI number
Legal business name
SPARTANBURG REGIONAL HEALTH SERVICES DISTRICT, INC.
Authorized official
KENNETH MEIKE (CHIEF FINANCIAL OFFICER)
(864) 560-6000
Entity
Organization
Contact information
Practice address
1114 E GEORGIA RD, WOODRUFF, SC 29388
(864) 476-7092
(864) 476-0753
Mailing address
PO BOX 2168, SPARTANBURG, SC 29304-2168
(864) 560-4304
(864) 569-4413
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
42-5179
MEDICARE PIN
SC
05
—
NF1085
—
SC
05
—
UPLN17
—
SC
Enumeration date
09/26/2017
Last updated
06/01/2021
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