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NPI Code Detail

MEDICARE: SUMTER OPERATIONS LLC

MEDICARE: SUMTER OPERATIONS LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility

General Provider Information

NPI Number : 1184417032
Entity Type Code : Organization
Provider Name (Legal Business Name) : SUMTER OPERATIONS LLC
Provider Business Mailing Address
First Line : 1761 PINEWOOD RD
Second Line :
City : SUMTER
State : SC
Zip : 29154-9056
Country : US
Telephone Number : 803-481-8591
Fax Number :
Provider Business Practice Location Address
First Line : 1761 PINEWOOD RD
Second Line :
City : SUMTER
State : SC
Zip : 29154-9056
Country : US
Telephone Number : 803-481-8591
Fax Number :
Authorized Official
Title or Position : MANAGER
Name : BRENT MORRISON
Credential :
Telephone Number : 310-989-6705
Provider Enumeration Date : 05/23/2025
Last Update Date : 08/01/2025

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Directions to “SUMTER OPERATIONS LLC ” Practice Location

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