Healthcare Provider Details

I. General information

NPI: 1598076267
Provider Name (Legal Business Name): HOSANNA HEALTH & REHAB OF PIEDMONT, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/28/2010
Last Update Date: 04/12/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

109 BENTZ RD
PIEDMONT SC
29673-1412
US

IV. Provider business mailing address

109 BENTZ RD
PIEDMONT SC
29673-1412
US

V. Phone/Fax

Practice location:
  • Phone: 864-845-5177
  • Fax: 864-845-5258
Mailing address:
  • Phone: 864-845-5177
  • Fax: 864-845-5258

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: CHRISTOPHER J MURPHY
Title or Position: VICE PRESIDENT
Credential:
Phone: 901-937-7994