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NPI Code Detail

MEDICARE: TRINITY MISSION OF CHARLESTON, LLC

MEDICARE: TRINITY MISSION OF 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 FacilityNCF-871SC

General Provider Information

NPI Number : 1437116290
Entity Type Code : Organization
Provider Name (Legal Business Name) : TRINITY MISSION OF CHARLESTON, LLC
Provider Business Mailing Address
First Line : 2230 ASHLEY CROSSING DR
Second Line :
City : CHARLESTON
State : SC
Zip : 29414-5700
Country : US
Telephone Number : 843-766-5228
Fax Number : 843-766-5447
Provider Business Practice Location Address
First Line : 2230 ASHLEY CROSSING DR
Second Line :
City : CHARLESTON
State : SC
Zip : 29414-5700
Country : US
Telephone Number : 843-766-5228
Fax Number : 843-766-5447
Authorized Official
Title or Position : PRESIDENT
Name : MR. BRIAN MOONEY
Credential :
Telephone Number : 850-543-5783
Provider Enumeration Date : 04/26/2006
Last Update Date : 04/10/2008

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Directions to “TRINITY MISSION OF CHARLESTON, LLC ” Practice Location

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