OrganizationActive
Sc Department of Health & Environmental Control
NPI 1881079077 · Nursing Facility/Intermediate Care Facility · Columbia, SC
Provider details
- NPI number
- 1881079077
- Entity type
- Organization
- Primary specialty
- Nursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Ashonda Wilson, Supervisor(843) 957-5888
- License
- 313M00000X (SC)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
2600 Bull St
Columbia, SC 29201-1708
Phone: (843) 546-5593
Fax: (843) 546-0456
Approximate (ZIP-level) locationGet directions
Mailing address
2600 Bull St
Columbia, SC 29201-1708
Registry dates
- Enumerated
- 2015-07-29
- Last updated
- 2015-07-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.