Organization
SC DHEC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MAUREEN A MACDONALD RN (NURSE CONSULTANT)
(803) 898-3923
Entity
Organization
Contact information
Practice address
2100 BULL ST, COLUMBIA, SC 29201-2104
(803) 898-3923
(803) 898-0897
Mailing address
2100 BULL ST, COLUMBIA, SC 29201-2104
(803) 898-3923
(803) 898-0897
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
052716-21
NH
Other
Enumeration date
08/24/2015
Last updated
08/24/2015
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