Organization
MOUNT PLEASANT MANOR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE L WHITE (ADMINISTRATOR)
(843) 884-8903
Entity
Organization
Contact information
Practice address
921 BOWMAN RD, MOUNT PLEASANT, SC 29464-3211
(843) 884-8903
(843) 849-5298
Mailing address
921 BOWMAN RD, MOUNT PLEASANT, SC 29464-3211
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NCF896
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0896NF
—
SC
Enumeration date
08/09/2006
Last updated
01/07/2010
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