Organization
SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE
Active
Parent organization
SOUTH CAROLINA DEPT OF MENTAL HEALTH
Other names
C M Tucker Jr Nursing Care Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTH CAROLINA DEPT OF MENTAL HEALTH
Authorized official
VERSIE BELLAMY (DEPUTY DIRECTOR)
(803) 935-5761
Entity
Organization
Contact information
Practice address
2200 HARDEN ST, COLUMBIA, SC 29203-7107
(803) 898-8405
Mailing address
PO BOX 485, COLUMBIA, SC 29202-0485
(803) 898-8405
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
450746
—
SC
Enumeration date
05/17/2006
Last updated
09/20/2019
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