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NPI Code Detail

MEDICARE: RURAL BUSINESS, INC

MEDICARE: RURAL BUSINESS, INC
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 Facility0918NFSC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1598733487
Entity Type Code : Organization
Provider Name (Legal Business Name) : RURAL BUSINESS, INC
Provider Business Mailing Address
First Line : 56 GENESIS DR
Second Line :
City : LAKE CITY
State : SC
Zip : 29560-5531
Country : US
Telephone Number : 843-389-3685
Fax Number :
Provider Business Practice Location Address
First Line : 56 GENESIS DR
Second Line :
City : LAKE CITY
State : SC
Zip : 29560-5531
Country : US
Telephone Number : 843-389-3685
Fax Number :
Authorized Official
Title or Position : ADMINISTRATOR
Name : SARAH LISA FRIERSON
Credential :
Telephone Number : 843-389-3685
Provider Enumeration Date : 03/08/2006
Last Update Date : 03/09/2015

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Directions to “RURAL BUSINESS, INC ” Practice Location

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