- Enrollment id
- O20090205000303
- Enrollment state
- SC
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1801895685
- Multiple npi flag
- N
- Ccn
- 425005
- Associate id
- 6406910421
- Organization name
- CHERAW HEALTHCARE INC
- Doing business as name
- CHERAW HEALTHCARE
- Incorporation date
- 1993-01-22
- Incorporation state
- SC
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 400 MOFFAT ROAD
- City
- CHERAW
- State
- SC
- Zip code
- 295203048