Organization
LAUREL CREST RETIREMENT COMMUNITY
Active
Parent organization
PRESBYTERIAN COMMUNITIES OF SOUTH CAROLINA
Organization subpart
Yes
Provider details
NPI number
Legal business name
PRESBYTERIAN COMMUNITIES OF SOUTH CAROLINA
Authorized official
KEVIN JOHNSON CPA (CHIEF FINANCIAL OFFICER)
(803) 365-0855
Entity
Organization
Contact information
Practice address
100 JOSEPH WALKER DR, WEST COLUMBIA, SC 29169-6971
(803) 926-5271
(803) 791-1557
Mailing address
2817 ASHLAND RD, COLUMBIA, SC 29210-5009
(803) 365-0854
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NCF-1001
DHEC
SC
Enumeration date
11/09/2022
Last updated
10/10/2023
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