Myrtle Beach Manor

LBN: Fs Tenant Pool I Trust
Myrtle Beach Manor is an health care organization with primary practice located at 9547 Highway 17 North , Myrtle Beach SC 29572-4039. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Fs Tenant Pool I Trust can be contacted via phone (843) 449-5283, or through Potter, Katherine E via phone (617) 796-8387.

Contact Information

Primary practice address
9547 Highway 17 North Myrtle Beach SC 29572-4039
Phone: (843) 449-5283
Fax: (843) 497-0880
Website:
Map and Directions
Authorized official contact:
Name: Potter, Katherine E
Phone: (617) 796-8387

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X NCF829 South Carolina

Profile Details

NPI number 1841245313
LBN Legal business name Fs Tenant Pool I Trust
DBA Doing business as Myrtle Beach Manor
Authorized official Potter, Katherine E
Entity Organization
Organization subpart 1 Yes
Enumeration date May 23rd, 2006
Last updated Mar 27th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841245313 NPPES
South Carolina MEDICAID 0829NF

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