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Contact Information

HERITAGE HOME OF FLORENCE, INC
515 WARLEY ST
FLORENCE, SC29501-5132
 Phone: 843-662-4573
 Fax: 843-662-8209
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
 

Nursing Facility Supplies

332BN1400X 87 All Other Suppliers
 

Parenteral & Enteral Nutrition

332BP3500X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for HERITAGE HOME OF FLORENCE, INC

NPI Number 1699761908
LBN Legal business name HERITAGE HOME OF FLORENCE, INC
Authorized official SHERWIN WELCH - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/22/2005
Last updated 12/11/2007 - About 18 years ago
Identifiers
SC License # 0450NH
SC License # NCF-450
SC Medicaid 0450NH
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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