Healthcare Provider Details

I. General information

NPI: 1447219696
Provider Name (Legal Business Name): MPI MANAGEMENT, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/17/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2906 GEER HWY
MARIETTA SC
29661-9517
US

IV. Provider business mailing address

2906 GEER HWY P. O.BOX 216
MARIETTA SC
29661-9517
US

V. Phone/Fax

Practice location:
  • Phone: 864-836-6381
  • Fax: 864-836-7229
Mailing address:
  • Phone: 864-836-6381
  • Fax: 864-836-7229

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License NumberNCF 717
License Number StateSC

VIII. Authorized Official

Name: MRS. EARLENE EVELYN JONES
Title or Position: ADMINISTRATOR
Credential:
Phone: 864-836-6381