Healthcare Provider Details

I. General information

NPI: 1548052467
Provider Name (Legal Business Name): GEORGETOWN OPERATIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2025
Last Update Date: 08/01/2025
Certification Date: 08/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2715 S ISLAND RD
GEORGETOWN SC
29440-4415
US

IV. Provider business mailing address

2715 S ISLAND RD
GEORGETOWN SC
29440-4415
US

V. Phone/Fax

Practice location:
  • Phone: 843-546-4123
  • Fax:
Mailing address:
  • Phone: 843-546-4123
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: BRENT MORRISON
Title or Position: MANAGER
Credential:
Phone: 310-989-6705