Pruitthealth - Moncks Corner Llc in Moncks Corner - Skilled Nursing Facility
Pruitthealth - Moncks Corner Llc - NPI 1700074564
Pruitthealth - Moncks Corner Llc is a Skilled Nursing Facility in Moncks Corner, South Carolina. Pruitthealth - Moncks Corner Llc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Pruitthealth - Moncks Corner Llc is 1700074564. The last update date is 2014-06-27.
Pruitthealth - Moncks Corner Llc's current location address is 505 S Live Oak Drive, Moncks Corner, South Carolina. You can contact this provider via phone number 8437618368 and fax number 8437615874. The mailing address for Pruitthealth - Moncks Corner Llc is 505 S Live Oak Drive, Moncks Corner, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pruitthealth - Moncks Corner Llc |
|---|---|
| Address | 505 S Live Oak Drive, Moncks Corner, South Carolina |
| Phone Number | 8437618368 |
| Fax Number | 8437615874 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHAIRMAN A |
|---|---|
| Authorized Official Name | Pruitt L Neil |
| Telephone Number | 7702796200 |
NPI Number Detail
| NPI Number | 1700074564 |
|---|---|
| Provider Enumeration Date | 2007-10-05 |
| Last Updated Date | 2014-06-27 |
Provider Mailing Address Detail
| Address | 505 S Live Oak Drive |
|---|---|
| City | Moncks Corner |
| State | South Carolina (SC) |
| Post Code | 294613553 |
| Phone Number | 8437618368 |
| Fax Number | 8437615874 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
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Definition: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring serv |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0855NF | SC | -- |
Post Comment/ Review Below
What is the Pruitthealth - Moncks Corner Llc's 1700074564?
The Pruitthealth - Moncks Corner Llc's NPI (National Provider Identifier) Number is 1700074564. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Pruitthealth - Moncks Corner Llc's facilities are situated?
The facilities of Pruitthealth - Moncks Corner Llc are physically located at the following address: 505 S Live Oak Drive, Moncks Corner, SC, 294613553.
What is the Pruitthealth - Moncks Corner Llc's specialty and taxonomy code?
The Pruitthealth - Moncks Corner Llc's specialty is Skilled Nursing Facility, and the corresponding taxonomy code is 314000000X.
When did Pruitthealth - Moncks Corner Llc receive its 1700074564 assignment?
The Pruitthealth - Moncks Corner Llc was assigned its 1700074564 on 2007-10-05, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Pruitthealth - Moncks Corner Llc last refreshed?
The information related to the Pruitthealth - Moncks Corner Llc, including its address, specialty, and other relevant details, was last updated on 2014-06-27.