Organization
PALMETTO JOLLEY ACRES OPERATING LLC
Active
Other names
Jolley Acres Healthcare Center
Organization subpart
No
Provider details
NPI number
Authorized official
DEANA HOUSER (ADMINISTRATOR)
(803) 534-1001
Entity
Organization
Contact information
Practice address
1180 WOLFE TRL, ORANGEBURG, SC 29115-7339
(803) 534-1001
Mailing address
1180 WOLFE TRL, ORANGEBURG, SC 29115-7339
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NCF-0929
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NCF-0929
—
SC
Enumeration date
10/20/2006
Last updated
09/20/2011
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