Organization
PETRA HEALTH & REHAB OF MCCORMICK, LLC
Active
Parent organization
ARK SOUTH CAROLINA HOLDING COMPANY, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ARK SOUTH CAROLINA HOLDING COMPANY, LLC
Authorized official
CHRISTOPHER J MURPHY (VICE PRESIDENT)
(901) 937-7994
Entity
Organization
Contact information
Practice address
204 HOLIDAY RD, MC CORMICK, SC 29835-3429
(864) 391-2390
(864) 391-2397
Mailing address
204 HOLIDAY RD, MC CORMICK, SC 29835-3429
(864) 391-2390
(864) 391-2397
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NF1024
—
SC
Enumeration date
07/03/2010
Last updated
04/13/2012
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