Organization Name: | ROCK CASTLE NURSING & NUTRITION SERVICES |
NPI Number: | 1467634410 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CAROLYN BARNETTE WATKINS (CHIEF EXECUTIVE OFFICER) |
Mailing Address: | 700 Ridge Trail Dr Columbia |
State: | SC US |
Postal Code: | 292299061 |
Phone Number: | 8036997369 |
Fax Number: | 8037887335 |
NPI Enumeration Date: | 12/02/2007 |
NPI Last Update Date: | 12/02/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251K00000X |
License Number: | 68138 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | SC |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Public Health or Welfare |
Taxonomy Specialization: | |
Taxonomy Definition: |