Organization
HANNAH RESIDENTIAL MANOR, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD E. HART SR. COB (OWNER)
(843) 493-0001
Entity
Organization
Contact information
Practice address
3750 SHEMINALLY RD, PAMPLICO, SC 29583-5700
(843) 493-0001
(843) 493-2840
Mailing address
3750 SHEMINALLY RD, PAMPLICO, SC 29583-5700
(843) 493-0001
(843) 493-2840
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
RCF 0712
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RCF 0712
—
SC
Enumeration date
08/03/2012
Last updated
08/03/2012
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