Organization
CLARENDON MEMORIAL HOSPITAL
Active
Other names
Lake Marion Health and Rehab Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHRISTIE H BROWDER (CFO)
(803) 433-2005
Entity
Organization
Contact information
Practice address
1527 URBANA RD, SUMMERTON, SC 29148-1159
(803) 485-2317
(803) 485-2708
Mailing address
PO BOX 1159, SUMMERTON, SC 29148-1159
(803) 485-2317
(803) 485-2708
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NCF736
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0736NF
—
SC
Enumeration date
11/07/2005
Last updated
02/08/2022
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