Healthcare Provider Details

I. General information

NPI: 1932502192
Provider Name (Legal Business Name): NHC GREENVILLE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2014
Last Update Date: 10/02/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1305 BOILING SPRINGS RD
GREER SC
29650-4139
US

IV. Provider business mailing address

1305 BOILING SPRINGS RD
GREER SC
29650-4139
US

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 TaxonomyN
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License NumberSC973
License Number StateSC
# 2
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number973
License Number StateSC

VIII. Authorized Official

Name: MRS. MARILEZE LOUW
Title or Position: OCCUPATIONAL THERAPIST
Credential: OTR
Phone: 864-420-8266