# ADVANTAGE VETERANS SERVICES OF

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Veterans Victory House Nursing Home
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790078582
- **Authorized official:** HEYWARD HILLIARD (VICE PRESIDENT - OPERATIONS)
- **Authorized official phone:** (864) 224-3898

## Contact information

- **Practice address:** 2461 SIDNEYS RD, WALTERBORO, SC 29488-6783
- **Practice address phone:** (843) 538-3000
- **Mailing address:** PO BOX 5285, ANDERSON, SC 29623-5285
- **Mailing address phone:** (864) 224-3898
- **Mailing address fax:** (864) 224-3609

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | 9034 | SC | Yes |

## Other

- **Enumeration date:** 05/26/2011
- **Last updated:** 03/29/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0921NF | — | SC |
| 01 | — | 4230291 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |