# MCLEOD LORIS SEACOAST HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MCLEOD HEALTH
- **Other names:** Loris Extended Care Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1588941520
- **Legal business name:** MCLEOD HEALTH
- **Authorized official:** SAMUEL FULTON ERVIN III (SR VP AND CFO)
- **Authorized official phone:** (843) 777-2910

## Contact information

- **Practice address:** 3620 STEVENS ST, LORIS, SC 29569-2953
- **Practice address phone:** (843) 716-7106
- **Practice address fax:** (843) 716-7026
- **Mailing address:** PO BOX 100567, FLORENCE, SC 29502-0567

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | NCF207 | SC | Yes |

## Other

- **Enumeration date:** 11/04/2011
- **Last updated:** 02/25/2019