Organization
COVENANT WAY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT PAUL PRIDMORE NHA, CRCFA (CEO)
(864) 379-2570
Entity
Organization
Contact information
Practice address
18 FRANK PRESSLY DRIVE, DUE WEST, SC 29639-0307
(864) 379-2570
(864) 379-2570
Mailing address
PO BOX 307, DUE WEST, SC 29639-0307
(864) 379-2570
(864) 379-2571
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NCF-0775
SC
Other
Enumeration date
01/03/2011
Last updated
01/03/2011
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