| NPI | 1073146981 |
|---|---|
| Former Legal Business Name | EXTRAORDINARY SERVICES LLC |
| Entity Type | Organization |
| Authorized Contact | FLORA MAYE JONES Owner 803-757-6698 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Enumeration Date | 2020-02-19 |
| Last Update Date | 2020-02-19 |