Organization
LORIS COMMUNITY HOSPITAL DISTRICT
Active
Other names
Loris Extended Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LINDA L JOHNSON RN MSN (ADMINISTRATOR)
(843) 716-7106
Entity
Organization
Contact information
Practice address
3620 STEVENS STREET, LORIS, SC 29569-2953
(843) 716-7106
(843) 716-7026
Mailing address
3620 STEVENS STREET, LORIS, SC 29569-2953
(843) 716-7106
(843) 716-7026
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NCF207
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
240637
—
SC
Enumeration date
11/15/2006
Last updated
12/10/2008
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