Organization
EMERITUS
Active
Other names
Bellaire Place
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KELLY FORREST (EXECUTIVE DIRECTOR)
(864) 675-0220
Entity
Organization
Contact information
Practice address
23 SOUTHPOINTE DR, GREENVILLE, SC 29607-5956
(864) 675-0220
(864) 675-6363
Mailing address
23 SOUTHPOINTE DR, GREENVILLE, SC 29607-5956
(864) 675-0220
(864) 675-6363
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
CRC1335
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RC1335
—
SC
Enumeration date
07/31/2008
Last updated
07/31/2008
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