| NPI | 1124591862 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELIA LORRAINE GLENN Manager 803-587-1008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2019-01-04 |
| Last Update Date | 2019-03-29 |