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Organization
WELLMORE OF TEGA CAY, LLC
Active
Organization
WELLMORE OF TEGA CAY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD O THOMPSON JR. (CEO)
(704) 246-1620
Entity
Organization
Contact information
Practice address
111 WELLMORE DR, TEGA CAY, SC 29708-0124
(704) 612-0363
Mailing address
3530 TORINGDON WAY, SUITE 204, CHARLOTTE, NC 28277-3431
(704) 246-1620
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NCF-0988
SC
314000000X
Skilled Nursing Facility
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—
Other
Enumeration date
10/13/2016
Last updated
06/19/2017
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