Organization
ROCK HILL MEDSERVE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JEANNE S NEELY (ADMINISTRATOR)
(803) 327-8655
Entity
Organization
Contact information
Practice address
420 S HERLONG AVE, SUITE 102, ROCK HILL, SC 29732-9810
(803) 327-8655
(803) 327-8664
Mailing address
420 S HERLONG AVE, SUITE 102, ROCK HILL, SC 29732-9810
(803) 327-8655
(803) 327-8664
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP4011
—
SC
Enumeration date
10/03/2005
Last updated
07/10/2013
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