Organization
DUNDEE MANOR, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HANY JOSEPH HANNA (ADMINISTRATOR)
(843) 479-6251
Entity
Organization
Contact information
Practice address
710 HWY 15-401 BY-PASS WEST, BENNETTSVILLE, SC 29512-0858
(843) 479-6851
(843) 479-8101
Mailing address
PO BOX 858, BENNETTSVILLE, SC 29512-0858
(843) 479-6251
(843) 479-8101
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0521NH
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NCF-897
STATE LICENSE
SC
Enumeration date
07/15/2005
Last updated
10/19/2007
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