Organization
LIBERTY COMMONS OF CHERAW, LLC
Active
Other names
Cheraw Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY WILSON (CHIEF OPERATING OFFICER)
(910) 815-3122
Entity
Organization
Contact information
Practice address
400 MOFFAT ROAD, CHERAW, SC 29520
(843) 537-5253
Mailing address
44 MCNEILL PLZ, WHITEVILLE, NC 28472-8602
(910) 642-0224
(910) 642-8537
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
425005
MEDICARE OSCAR / CERTIFICATION
SC
Enumeration date
02/17/2023
Last updated
02/17/2023
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