Organization
THI OF SOUTH CAROLINA AT GREENVILLE, LLC
Active
Other names
Magnolia Manor - Greenville
Organization subpart
No
Provider details
NPI number
Authorized official
JANE OWINGS (PRESIDENT)
(864) 232-5368
Entity
Organization
Contact information
Practice address
411 ANSEL ST, GREENVILLE, SC 29601-3407
(864) 232-5368
(864) 232-7599
Mailing address
930 RIDGEBROOK RD, SPARKS, MD 21152-9390
(410) 773-1000
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0860NF
—
SC
Enumeration date
10/07/2006
Last updated
01/09/2008
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