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Organization

EXALTED HEALTH & REHAB OF IVA, 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
406 WEST BROAD ST, IVA, SC 29655
(864) 348-7433
(864) 348-3888
Mailing address
PO BOX 1119, IVA, SC 29655-1119
(864) 348-7433
(864) 348-3888

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
NF1023
SC
Enumeration date
07/07/2010
Last updated
04/12/2012
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