Organization
SEDGEWOOD MANOR HEALTHCARE CENTER LLC
Active
Other names
Sedgewood Manor Healthcare Center
Organization subpart
No
Provider details
NPI number
Authorized official
SAVITRI JOHNSON (ADMINISTRATIVE ASSISTANT)
(863) 226-0358
Entity
Organization
Contact information
Practice address
1645 RIDGE RD, HOPKINS, SC 29061-8432
(803) 776-3873
(803) 217-0365
Mailing address
1645 RIDGE RD, HOPKINS, SC 29061-8432
(803) 776-3873
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NF1109
—
SC
Enumeration date
12/27/2006
Last updated
11/25/2024
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