Organization
COVENANT PLACE OF SUMTER, INC
Active
Other names
Covenant Place Nursing Center
Organization subpart
No
Provider details
NPI number
Authorized official
RISLEY E LINDER SR. NHA, CRCFA, CASP (EXECUTIVE DIRECTOR)
(803) 469-7007
Entity
Organization
Contact information
Practice address
2825 CARTER RD, SUMTER, SC 29150-1712
(803) 469-7022
(803) 469-7003
Mailing address
2825 CARTER RD, SUMTER, SC 29150-1712
(803) 469-7007
(803) 469-7008
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NCF-632
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
425402
PTAN NUMBER
SC
Enumeration date
05/25/2007
Last updated
10/21/2015
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