# CONWAY HEALTH CARE & REHAB LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538680699
- **Authorized official:** DR. JOHN WALTER KUDRICK DC (OWNER/DOCTOR)
- **Authorized official phone:** (609) 954-3312

## Contact information

- **Practice address:** 11945 GRANDHAVEN DR STE F, MURRELLS INLET, SC 29576-8091
- **Practice address phone:** (843) 357-7200
- **Practice address fax:** (843) 347-1824
- **Mailing address:** 11945 GRANDHAVEN DR STE F, MURRELLS INLET, SC 29576-8091
- **Mailing address phone:** (609) 954-3312
- **Mailing address fax:** (843) 347-1824

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 4241 | SC | Yes |

## Other

- **Enumeration date:** 06/29/2017
- **Last updated:** 05/07/2019