Organization
MCLEOD LORIS SEACOAST HOSPITAL
Active
Parent organization
MCLEOD HEALTH
Other names
Loris Extended Care Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
MCLEOD HEALTH
Authorized official
SAMUEL FULTON ERVIN III (SR VP AND CFO)
(843) 777-2910
Entity
Organization
Contact information
Practice address
3620 STEVENS ST, LORIS, SC 29569-2953
(843) 716-7106
(843) 716-7026
Mailing address
PO BOX 100567, FLORENCE, SC 29502-0567
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NCF207
SC
Other
Enumeration date
11/04/2011
Last updated
02/25/2019
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