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Organization
FAIRFIELD HOME, LLC
Active
Organization
FAIRFIELD HOME, LLC
Active
Other names
Fairfield Health Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEVI RUDD (CEO)
(786) 358-5200
Entity
Organization
Contact information
Practice address
117 BELLFIELD ROAD, RIDGEWAY, SC 29130-8261
(803) 337-2257
Mailing address
1709 MILL STREET, CAMDEN, SC 29020-2730
(803) 337-2257
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0978
SC
314000000X
Skilled Nursing Facility
NH-776
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0776NF
—
SC
Enumeration date
10/07/2005
Last updated
04/20/2016
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