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Organization
FSL GREENVILLE SC TENANT LLC
Active
Organization
FSL GREENVILLE SC TENANT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN FOSTER (MANAGING MEMBER)
(417) 521-8522
Entity
Organization
Contact information
Practice address
1306 PELHAM RD, GREENVILLE, SC 29615-3600
(417) 877-1717
Mailing address
1240 E INEPENDENCE ST, SUITE 200, SPRINGFIELD, MO 65804
(417) 521-8522
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
04/27/2020
Last updated
04/27/2020
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