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Contact Information

EXALTED HEALTH & REHAB OF IVA, LLC
406 WEST BROAD ST
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 EXALTED HEALTH & REHAB OF IVA, LLC

NPI Number 1750693776
LBN Legal business name EXALTED HEALTH & REHAB OF IVA, LLC
Authorized official CHRISTOPHER MURPHY - (VICE PRESIDENT)
Entity Organization
Organization subpart 1 Yes
Enumeration date 07/07/2010
Last updated 04/12/2012 - About 14 years ago
Identifiers
SC Medicaid NF1023
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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