Healthcare Provider Details

I. General information

NPI: 1366492118
Provider Name (Legal Business Name): ANNE MARIA REHAB AND NURSING CTR
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2006
Last Update Date: 02/13/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 TALISMAN DR
NORTH AUGUSTA SC
29841-4032
US

IV. Provider business mailing address

1200 TALISMAN DR
NORTH AUGUSTA SC
29841-4032
US

V. Phone/Fax

Practice location:
  • Phone: 803-278-0011
  • Fax: 803-442-9344
Mailing address:
  • Phone: 803-278-0011
  • Fax: 803-442-9344

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License NumberNCF721
License Number StateSC

VIII. Authorized Official

Name: MRS. NOTA FELTHAM GINN
Title or Position: CEO
Credential:
Phone: 803-278-0011