| NPI | 1043583693 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA M CORPUS Owner 843-817-0247 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2012-02-13 |
| Last Update Date | 2012-02-13 |