Organization · Type 2 NPI

FS Tenant Pool I Trust

Skilled Nursing Facility · Myrtle Beach, SC

NPI number 1841245313 Active

Practice location

9547 Highway 17 North
Myrtle Beach, SC 29572-4039

Fax (843) 497-0880

Specialties and licenses

Taxonomy	Code	License
Skilled Nursing Facility Primary	314000000X	NCF829 (SC)

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

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NPI record

NPI: 1841245313
Entity type: Organization (Type 2)
Issued: May 23, 2006
Last updated: Mar 27, 2019
Status: Active
Subpart: Yes of FS Tenant Pool I Trust

Other names

<unavail>
Myrtle Beach Manor · doing business as
Myrtle Beach Manor · doing business as

Authorized official

Katherine E Potter
President & Chief Executive Officer
(617) 796-8387

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1841245313

FS Tenant Pool I Trust's National Provider Identifier is 1841245313, issued on May 23, 2006. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Myrtle Beach, SC. The record was last updated on Mar 27, 2019.