Organization
CHERAW HEALTHCARE INC
Active
Other names
Cheraw Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
JOEL DYSON (ADMINISTRATOR VP)
(843) 537-5253
Entity
Organization
Contact information
Practice address
400 MOFFAT ROAD, CHERAW, SC 29520
(843) 537-5253
(843) 537-4014
Mailing address
PO BOX 967, CHERAW, SC 29520-0967
(843) 537-5253
(843) 537-4014
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NCF602
SC
332BN1400X
Nursing Facility Supplies (DME)
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0602NH
—
SC
Enumeration date
07/14/2005
Last updated
06/26/2008
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