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Contact Information

WOODRUFF MANOR
1114 E GEORGIA RD
WOODRUFF, SC29388
 Phone: 864-476-7092
 Fax: 864-476-0753
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for WOODRUFF MANOR

NPI # 1437668019
LBN Legal business name WOODRUFF MANOR
Authorized official KENNETH MEIKE - (CHIEF FINANCIAL OFFICER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 09/26/2017
Last updated 06/01/2021 - About 5 years ago
Identifiers
SC Medicaid NF1085
SC Medicaid UPLN17
SC Other 42-5179 MEDICARE PIN
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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