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Organization
MEDFORD NURSING CENTER LLC
Active
Organization
MEDFORD NURSING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS LOFE (CEO)
(843) 393-9925
Entity
Organization
Contact information
Practice address
105 MEDFORD DR, DARLINGTON, SC 29532-2719
(843) 398-7000
Mailing address
116 CASHUA ST, DARLINGTON, SC 29532-3202
(843) 393-9925
(843) 393-6778
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NCF891
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0527NH
—
SC
Enumeration date
09/13/2005
Last updated
08/22/2020
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