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NPI Code Detail

MEDICARE: NHC HEALTHCARE-MAULDIN LLC

MEDICARE: NHC HEALTHCARE-MAULDIN 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-796SC

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 : 1659306215
Entity Type Code : Organization
Provider Name (Legal Business Name) : NHC HEALTHCARE-MAULDIN LLC
Provider Business Mailing Address
First Line : 850 E BUTLER RD
Second Line :
City : GREENVILLE
State : SC
Zip : 29607-5842
Country : US
Telephone Number : 864-675-6421
Fax Number :
Provider Business Practice Location Address
First Line : 850 E BUTLER RD
Second Line :
City : GREENVILLE
State : SC
Zip : 29607-5842
Country : US
Telephone Number : 864-675-6421
Fax Number :
Authorized Official
Title or Position : MANAGER OF LLC
Name : JULIUS B KINNEY JR.
Credential :
Telephone Number : 864-662-1452
Provider Enumeration Date : 07/12/2006
Last Update Date : 11/16/2011

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Directions to “NHC HEALTHCARE-MAULDIN LLC ” Practice Location

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