Organization
MARANATHA MANOR OF SPARTANBURG, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SANDRA M WEST (OFFICE MANAGER)
(864) 579-0086
Entity
Organization
Contact information
Practice address
2902 E MAIN STREET EXT, SPARTANBURG, SC 29307-1252
(864) 579-0086
(864) 579-0466
Mailing address
2902 E MAIN STREET EXT, SPARTANBURG, SC 29307-1252
(864) 579-0086
(864) 579-0466
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
CRC1235
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RC1235
—
SC
Enumeration date
01/06/2006
Last updated
08/22/2020
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