# SUPPLEMENTAL HEALTH CARE

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

## Provider details

- **NPI number:** 1689002263
- **Authorized official:** MISS HOLLY MATHIS (STAFFING MANAGER)
- **Authorized official phone:** (866) 571-2700

## Contact information

- **Practice address:** 161 POPE DR, WAMPUM, PA 16157-3521
- **Practice address phone:** (724) 535-3162
- **Mailing address:** 4401 BELLE OAKS DR, N CHARLESTON, SC 29405-8537

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 5386 | SC | Yes |

## Other

- **Enumeration date:** 10/17/2013
- **Last updated:** 10/17/2013