Organization
THE METHODIST OAKS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUZANNE WARD (CHIEF FINANCIAL OFFICER)
(803) 535-1575
Entity
Organization
Contact information
Practice address
1000 METHODIST OAKS DRIVE, ORANGEBURG, SC 29115-9999
(803) 534-1212
Mailing address
PO BOX 327, ORANGEBURG, SC 29116-0327
(803) 534-1212
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
H0105
SC
310400000X
Assisted Living Facility
CRC 910
SC
314000000X
Skilled Nursing Facility
Primary
NCF 735
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
323391
—
SC
Enumeration date
07/04/2006
Last updated
04/16/2008
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