Organization
CONWAY HOSPITAL LONG TERM CARE SERVICES, INC
Active
Parent organization
CONWAY HOSPITAL, INC
Other names
Kingston Nursing Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
CONWAY HOSPITAL, INC
Authorized official
MRS. LAURA L. FOWLER (ADMINISTRATOR)
(843) 347-8179
Entity
Organization
Contact information
Practice address
2379 CYPRESS CIR, CONWAY, SC 29526-8921
(843) 347-8179
(843) 234-5147
Mailing address
PO BOX 1496, CONWAY, SC 29528-1496
(843) 347-8179
(843) 234-5147
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NCF-518
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0518NH
—
SC
Enumeration date
06/08/2005
Last updated
12/30/2011
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