OrganizationActive
Conway Manor, LLC
NPI 1639123748 · Skilled Nursing Facility · Conway, SC
Provider details
- NPI number
- 1639123748
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Raymond Tiller, Administrator(843) 248-5728
- License
- NCF-899 (SC)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
3300 4th Ave
Conway, SC 29527-6002
Phone: (843) 248-5728
Fax: (843) 248-6698
Approximate (ZIP-level) locationGet directions
Mailing address
3300 4th Ave
Conway, SC 29527-6002
Registry dates
- Enumerated
- 2006-05-22
- Last updated
- 2010-01-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.