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Organization

GENESIS HEALTHCARE, INC.

Active
Other names
Mobile Health Clinic #2
Organization subpart
No

Provider details

NPI number
Authorized official
TONY MEGNA (CEO)
(803) 254-3676
Entity
Organization

Contact information

Practice address
8906 TWO NOTCH RD, COLUMBIA, SC 29223-6366
(843) 584-4354
(803) 254-3678
Mailing address
8906 TWO NOTCH RD, COLUMBIA, SC 29223-6366
(803) 254-3676
(803) 254-3678

Taxonomy

Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary

Other

Enumeration date
07/18/2024
Last updated
09/09/2024
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