Organization
THI OF SOUTH CAROLINA AT GREENWOOD, LLC
Active
Other names
Magnolia Manor - Greenwood, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
EDITH GOFORTH (PRESIDENT)
(864) 227-9500
Entity
Organization
Contact information
Practice address
1415 PARKWAY, GREENWOOD, SC 29646-4044
(864) 227-9500
(864) 227-9488
Mailing address
930 RIDGEBROOK RD, SPARKS, MD 21152-9390
(410) 773-1000
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0866NF
—
SC
Enumeration date
10/07/2006
Last updated
04/07/2008
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