Organization
ADVANTAGE VETERANS SERVICES OF
Active
Other names
Veterans Victory House Nursing Home
Organization subpart
No
Provider details
NPI number
Authorized official
HEYWARD HILLIARD (VICE PRESIDENT - OPERATIONS)
(864) 224-3898
Entity
Organization
Contact information
Practice address
2461 SIDNEYS RD, WALTERBORO, SC 29488-6783
(843) 538-3000
Mailing address
PO BOX 5285, ANDERSON, SC 29623-5285
(864) 224-3898
(864) 224-3609
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
9034
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0921NF
—
SC
01
—
4230291
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
05/26/2011
Last updated
03/29/2013
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