Healthcare Provider Details

I. General information

NPI: 1043623853
Provider Name (Legal Business Name): GREENVILLE REHABILITATION AND HEALTHCARE CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2014
Last Update Date: 12/29/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

661 RUTHERFORD RD
GREENVILLE SC
29609-4640
US

IV. Provider business mailing address

661 RUTHERFORD RD
GREENVILLE SC
29609-4640
US

V. Phone/Fax

Practice location:
  • Phone: 864-232-2442
  • Fax:
Mailing address:
  • Phone: 864-232-2442
  • 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: MICHELLE D MEER
Title or Position: VICE PRESIDENT & SECRETARY
Credential:
Phone: 629-626-0000