Provider Demographics
NPI:1790136299
Name:4FRONT HEALTHCARE OF HILTON HEAD
Entity Type:Organization
Organization Name:4FRONT HEALTHCARE OF HILTON HEAD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:GEORGE L
Authorized Official - Middle Name:
Authorized Official - Last Name:SLAUGHTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-593-9322
Mailing Address - Street 1:61 ARROW RD
Mailing Address - Street 2:STE A
Mailing Address - City:HILTON HEAD ISLAND
Mailing Address - State:SC
Mailing Address - Zip Code:29928-7339
Mailing Address - Country:US
Mailing Address - Phone:843-593-9322
Mailing Address - Fax:843-593-9323
Practice Address - Street 1:61 ARROW RD
Practice Address - Street 2:STE A
Practice Address - City:HILTON HEAD ISLAND
Practice Address - State:SC
Practice Address - Zip Code:29928-7339
Practice Address - Country:US
Practice Address - Phone:843-593-9322
Practice Address - Fax:843-593-9323
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-26
Last Update Date:2016-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based