Provider Demographics
NPI:1952530867
Name:UPSTATE SENIOR LIVING, INC.
Entity Type:Organization
Organization Name:UPSTATE SENIOR LIVING, INC.
Other - Org Name:THE ARBORETUM AT THE WOODLANDS AT FURMAN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHAIRMAN OF THE BOARD
Authorized Official - Prefix:MR
Authorized Official - First Name:JIM
Authorized Official - Middle Name:
Authorized Official - Last Name:NEAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:864-371-3100
Mailing Address - Street 1:1500 TRAILHEAD CT
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29617-6226
Mailing Address - Country:US
Mailing Address - Phone:864-371-3100
Mailing Address - Fax:864-371-3101
Practice Address - Street 1:50 ARBORETUM WAY
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29617-6226
Practice Address - Country:US
Practice Address - Phone:864-371-3300
Practice Address - Fax:864-371-3301
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-13
Last Update Date:2013-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCNCF - 0975314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility