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Organization
SUPPLEMENTAL HEALTHCARE
Active
Organization
SUPPLEMENTAL HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLY MATHIS (STAFFING MANAGER)
(877) 571-2124
Entity
Organization
Contact information
Practice address
200 TULIP TREE CT, EASLEY, SC 29642-7600
(864) 617-2584
Mailing address
200 TULIP TREE CT, EASLEY, SC 29642-7600
(864) 617-2584
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
RCP5096
SC
Other
Enumeration date
10/15/2013
Last updated
10/15/2013
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