Organization
SUPPLEMENTAL HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN CHURCH (RRT)
(843) 301-0643
Entity
Organization
Contact information
Practice address
1 STABLE GATE RD, HILTON HEAD, SC 29926-1059
(803) 301-0643
Mailing address
1 STABLE GATE RD, HILTON HEAD, SC 29926-1059
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
4306
SC
Other
Enumeration date
12/06/2013
Last updated
12/06/2013
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