Organization
PALMETTO SENIOR CARE SHANDON
Active
Parent organization
PALMETTO HEALTH
Organization subpart
Yes
Provider details
NPI number
Legal business name
PALMETTO HEALTH
Authorized official
DR. JOHN EGBERT MD, PHD (PACE EXECUTIVE MD)
(803) 252-1979
Entity
Organization
Contact information
Practice address
1100 SHIRLEY ST STE 1, COLUMBIA, SC 29205-1370
(803) 252-1979
Mailing address
1100 SHIRLEY ST STE 1, COLUMBIA, SC 29205-1370
(803) 252-1979
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
19802
SC
Other
Enumeration date
04/26/2016
Last updated
04/26/2016
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