Organization
COMMANDER HEALTH CARE FACILITIES, INC.
Active
Other names
Southland Health Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES S. COMMANDER (ADMINISTRATOR)
(843) 669-4403
Entity
Organization
Contact information
Practice address
722 S DARGAN ST, FLORENCE, SC 29506-2559
(843) 669-4403
(843) 663-4534
Mailing address
722 S DARGAN ST, FLORENCE, SC 29506-2559
(843) 669-4403
(843) 663-4534
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NCF-599
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0453NH
—
SC
Enumeration date
04/28/2006
Last updated
12/22/2009
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