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 - Roddey Pavillion
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
2414 BULL ST, COLUMBIA, SC 29201-1906
(803) 898-8405
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NCF726
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0726NF
—
SC
Enumeration date
07/12/2006
Last updated
09/20/2019
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