Organization
SUPPLEMENTAL HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS HOLLY MATHIS (STAFFING MANAGER)
(866) 571-2700
Entity
Organization
Contact information
Practice address
161 POPE DR, WAMPUM, PA 16157-3521
(724) 535-3162
Mailing address
4401 BELLE OAKS DR, N CHARLESTON, SC 29405-8537
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
5386
SC
Other
Enumeration date
10/17/2013
Last updated
10/17/2013
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