Organization Name: | LUTHERAN HOMES OF SC, INC. |
NPI Number: | 1275531758 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PARKE B HORTON (CFO) |
Mailing Address: | 102 Fortress Dr Chapin |
State: | SC US |
Postal Code: | 29036 |
Phone Number: | 8034610456 |
Fax Number: | 8034610727 |
NPI Enumeration Date: | 07/08/2005 |
NPI Last Update Date: | 07/12/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | HPC-041 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |