| NPI | 1003294851 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM ANDREW MARTIN Owner 864-869-8730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: SC IHCP-0030) |
| Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care |
| Enumeration Date | 2015-05-13 |
| Last Update Date | 2022-05-06 |