Organization
SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE
Active
Other names
Veteran Village
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH BLALOCK (DIRECTOR)
(803) 898-8461
Entity
Organization
Contact information
Practice address
1200 E NATIONAL CEMETERY RD, FLORENCE, SC 29506-3239
(803) 898-8461
Mailing address
2414 BULL ST, COLUMBIA, SC 29201-1906
(803) 898-8461
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
—
—
313M00000X
Nursing Facility/Intermediate Care Facility
—
—
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
12/03/2020
Last updated
01/27/2022
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