Provider Demographics
NPI:1164915666
Name:HEALTHCARE PANASCOPE INC.
Entity Type:Organization
Organization Name:HEALTHCARE PANASCOPE INC.
Other - Org Name:DR. RONALD E. MCNAIR NURSING & REHAB. CTR.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:LISA
Authorized Official - Last Name:FRIERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-389-3685
Mailing Address - Street 1:56 GENESIS DR
Mailing Address - Street 2:
Mailing Address - City:LAKE CITY
Mailing Address - State:SC
Mailing Address - Zip Code:29560-5531
Mailing Address - Country:US
Mailing Address - Phone:843-389-3685
Mailing Address - Fax:843-210-3026
Practice Address - Street 1:56 GENESIS DR
Practice Address - Street 2:
Practice Address - City:LAKE CITY
Practice Address - State:SC
Practice Address - Zip Code:29560-5531
Practice Address - Country:US
Practice Address - Phone:843-389-3685
Practice Address - Fax:843-210-3026
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-08
Last Update Date:2018-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCNCF-0918314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility