Organization
THI OF SOUTH CAROLINA AT CAMP CARE, LLC
Active
Other names
Lake Emory Post Acute Care
Organization subpart
No
Provider details
NPI number
Authorized official
WADETTE COTHRAN (PRESIDENT)
(864) 472-2028
Entity
Organization
Contact information
Practice address
59 BLACKSTOCK RD, INMAN, SC 29349-1827
(864) 472-2028
(864) 472-6901
Mailing address
920 RIDGEBROOK RD, SPARKS, MD 21152-9390
(410) 773-1000
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0862NF
—
SC
Enumeration date
10/07/2006
Last updated
09/18/2013
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