Organization
LAUREL BAYE HEALTHCARE OF GREENVILLE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TOM TILLER (CFO)
(843) 216-6800
Entity
Organization
Contact information
Practice address
661 RUTHERFORD RD, GREENVILLE, SC 29609-4640
(803) 266-3229
Mailing address
661 RUTHERFORD RD, GREENVILLE, SC 29609-4640
(803) 266-3229
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NCF754
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0805NF
—
SC
Enumeration date
10/07/2005
Last updated
06/24/2009
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