Healthcare Provider Details

I. General information

NPI: 1265768238
Provider Name (Legal Business Name): NATIONAL HEALTHCARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/27/2009
Last Update Date: 10/27/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1305 BOILING SPRINGS ROAD
GREER SC
29650
UM

IV. Provider business mailing address

1305 BOILING SPRINGS ROAD
GREER SC
29650
UM

V. Phone/Fax

Practice location:
  • Phone: 864-458-7566
  • Fax:
Mailing address:
  • Phone: 864-458-7566
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number4365
License Number StateSC

VIII. Authorized Official

Name: JENNIFER RAE PARTON
Title or Position: SPEECH LANGUAGE PATHOLOGIST
Credential: MSP, CCC-SLP
Phone: 842-290-8132