Provider Demographics
NPI:1144798885
Name:SC-GA2018 MANNA REHABILITATION AND HEALTHCARE CENTER, LLC
Entity Type:Organization
Organization Name:SC-GA2018 MANNA REHABILITATION AND HEALTHCARE CENTER, LLC
Other - Org Name:MANNA REHABILITATION AND HEALTHCARE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALEX
Authorized Official - Middle Name:
Authorized Official - Last Name:PALEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-390-4363
Mailing Address - Street 1:777 LOWNDES HILL ROAD
Mailing Address - Street 2:BLDG. 2, SUITE 101
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29607
Mailing Address - Country:US
Mailing Address - Phone:864-688-3992
Mailing Address - Fax:
Practice Address - Street 1:716 E CEDAR ROCK ST
Practice Address - Street 2:
Practice Address - City:PICKENS
Practice Address - State:SC
Practice Address - Zip Code:29671-2324
Practice Address - Country:US
Practice Address - Phone:864-878-4739
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SC-GA OPERATOR HOLDINGS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-11-12
Last Update Date:2021-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility