| NPI | 1093367047 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YEGIDE ABEO WHITE COO Rdinator 843-400-2500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities |
| 385HR2065X Respite Care Respite Care, Physical Disabilities, Child | |
| Enumeration Date | 2019-07-10 |
| Last Update Date | 2019-07-10 |