Organization
THI OF SOUTH CAROLINA AT ROCK HILL, LLC
Active
Other names
Magnolia Manor - Rock Hill
Organization subpart
No
Provider details
NPI number
Authorized official
ELBERT MASK (PRESIDENT)
(803) 324-7591
Entity
Organization
Contact information
Practice address
127 MURRAH DR, ROCK HILL, SC 29732-2342
(803) 324-7591
(803) 327-4638
Mailing address
930 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
—
0859NF
—
SC
Enumeration date
10/07/2006
Last updated
01/10/2008
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