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Organization

HERITAGE HOME OF FLORENCE, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. SHERWIN WELCH (OWNER)
(843) 662-4573
Entity
Organization

Contact information

Practice address
515 WARLEY ST, FLORENCE, SC 29501-5132
(843) 662-4573
(843) 662-8209
Mailing address
515 WARLEY ST, FLORENCE, SC 29501-5132
(843) 662-4573
(843) 662-8209

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NCF-450
SC
332BN1400X
Nursing Facility Supplies (DME)
0450NH
SC
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
0450NH
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0450NH
SC
Enumeration date
09/22/2005
Last updated
12/11/2007
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