Organization · Type 2 NPI
Quillen Manor LLC
Assisted Living Facility · Fountain Inn, SC
NPI number
1255655650
Active
Practice location
709 Quillen Ave
Fountain Inn, SC 29644-9444
Fax (864) 862-3254
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | CRC-1321 (SC) |
Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
4 other providers at this address
- Jeffery Brown, COTAOccupational Therapy Assistant Fountain Inn, SC NPI 1669557880
- Jennifer R. HessGeriatric Physical Therapist Fountain Inn, SC NPI 1346602794
- Randy L. Marg, OTOccupational Therapist Fountain Inn, SC NPI 1710016084
- Vernessa A. Fulmore, PTAPhysical Therapy Assistant Fountain Inn, SC NPI 1538295894
About NPI 1255655650
Quillen Manor LLC's National Provider Identifier is 1255655650, issued on Mar 15, 2010. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Fountain Inn, SC. The record was last updated on Mar 15, 2010.