Organization
PROVIDENCE HOSPITAL NORTHEAST TRANSITIONAL CARE UNIT
Active
Other names
Providence Northeast TCU
Organization subpart
No
Provider details
NPI number
Authorized official
JUDITH ANN KARAM CSA (PRESIDENT AND CEO)
(803) 256-5313
Entity
Organization
Contact information
Practice address
120 GATEWAY CORPORATE BLVD, COLUMBIA, SC 29203-9802
(803) 865-4500
(803) 865-4515
Mailing address
2435 FOREST DR, COLUMBIA, SC 29204-2026
(803) 256-5300
(803) 256-5935
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
593N98
SC
Other
Enumeration date
06/15/2005
Last updated
08/22/2020
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