- Enrollment id
- O20190424000708
- Enrollment state
- SC
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1295164895
- Multiple npi flag
- N
- Ccn
- 425122
- Associate id
- 6204178270
- Organization name
- INMAN OPERATIONS LLC
- Doing business as name
- INMAN HEALTHCARE
- Incorporation date
- 2018-11-21
- Incorporation state
- DE
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Nursing home provider name
- INMAN HEALTHCARE
- Address line 1
- 51 NORTH MAIN STREET
- City
- INMAN
- State
- SC
- Zip code
- 293491602