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Contact Information

WILLOW CREEK LIVING CENTER, LLC
406 WEST BROAD STREET
IVA, SC29655
 Phone: 864-348-7433
 Fax: 864-348-3888
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

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

NPI Profile & details for WILLOW CREEK LIVING CENTER, LLC

NPI Number 1740208776
LBN Legal business name WILLOW CREEK LIVING CENTER, LLC
Authorized official JOHN SWIFT - (VP & CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 07/17/2006
Last updated 03/10/2008 - About 18 years ago
Identifiers
SC License # NCF-682
SC Medicaid 0682 NF
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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