Organization
SPARTANBURG HEALTH CARE LLC
Active
Other names
Valley Falls Terrace
Organization subpart
No
Provider details
NPI number
Authorized official
RANDY TUCKER (PRESIDENT)
(864) 503-0377
Entity
Organization
Contact information
Practice address
400 LOCUST GRV, SPARTANBURG, SC 29303-4831
(864) 503-0377
(864) 503-9631
Mailing address
400 LOCUST GRV, SPARTANBURG, SC 29303-4831
(864) 503-0377
(864) 503-9631
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NF1060
—
SC
Enumeration date
03/11/2015
Last updated
01/06/2016
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