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NPI Code Detail

MEDICARE: THI OF SOUTH CAROLINA AT CHARLESTON, LLC

MEDICARE: THI OF SOUTH CAROLINA AT CHARLESTON, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1326135500
Entity Type Code : Organization
Provider Name (Legal Business Name) : THI OF SOUTH CAROLINA AT CHARLESTON, LLC
Provider Business Mailing Address
First Line : 920 RIDGEBROOK RD
Second Line :
City : SPARKS
State : MD
Zip : 21152-9390
Country : US
Telephone Number : 410-773-1000
Fax Number :
Provider Business Practice Location Address
First Line : 2375 BAKER HOSPITAL BLVD
Second Line :
City : CHARLESTON
State : SC
Zip : 29405-8233
Country : US
Telephone Number : 843-744-2750
Fax Number : 843-747-0406
Authorized Official
Title or Position : PRESIDENT
Name : JIM THOMAS
Credential :
Telephone Number : 843-744-2750
Provider Enumeration Date : 10/07/2006
Last Update Date : 08/22/2011

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