# OPEN HEALTHCARE SKILL NURSING

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1619715422
- **Authorized official:** ANDREA GRAHAM (DIRECTOR)
- **Authorized official phone:** (843) 939-0810

## Contact information

- **Practice address:** 121 S ACLINE ST, LAKE CITY, SC 29560-2632
- **Practice address phone:** (843) 699-9318
- **Mailing address:** 121 S ACLINE ST, LAKE CITY, SC 29560-2632
- **Mailing address phone:** (843) 699-9318

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 07/16/2024
- **Last updated:** 11/07/2024