Provider Demographics
NPI:1417770223
Name:STATE OF SOUTH CAROLINA COMPTROLLER GENERAL
Entity type:Organization
Organization Name:STATE OF SOUTH CAROLINA COMPTROLLER GENERAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF STATE VETERAN HOMES
Authorized Official - Prefix:
Authorized Official - First Name:HEYWARD
Authorized Official - Middle Name:E
Authorized Official - Last Name:HILLIARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-734-0200
Mailing Address - Street 1:1800 SAINT JULIAN PL STE 305
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29204-2417
Mailing Address - Country:US
Mailing Address - Phone:803-734-0200
Mailing Address - Fax:
Practice Address - Street 1:2200 HARDEN ST
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29203-7107
Practice Address - Country:US
Practice Address - Phone:803-737-5301
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:STATE OF SOUTH CAROLINA COMPTROLLER GENERAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-11-01
Last Update Date:2024-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility