- Enrollment id
- O20150625002561
- Enrollment state
- SC
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1497148712
- Multiple npi flag
- N
- Ccn
- 425096
- Associate id
- 9739490103
- Organization name
- SPARTANBURG HEALTH CARE LLC
- Doing business as name
- VALLEY FALLS TERRACE
- Incorporation date
- 2015-01-14
- Incorporation state
- DE
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Nursing home provider name
- VALLEY FALLS TERRACE
- Affiliation entity name
- FUNDAMENTAL HEALTHCARE
- Affiliation entity id
- 231
- Address line 1
- 400 LOCUST GRV
- City
- SPARTANBURG
- State
- SC
- Zip code
- 293034831