Organization
CLARENDON MEMORIAL HOSPITAL
Active
Other names
Lake Moultrie Nursing Facility, Lake Moultrie Health and Rehab Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHRISTIE H BROWDER (CFO)
(803) 433-2005
Entity
Organization
Contact information
Practice address
1038 MCGILL LN, SAINT STEPHEN, SC 29479-3196
(843) 567-2307
(843) 567-2305
Mailing address
PO BOX 1108, SAINT STEPHEN, SC 29479-1108
(843) 567-2307
(846) 567-2305
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NCF738
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0738NF
—
SC
Enumeration date
11/07/2005
Last updated
02/08/2022
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