| NPI | 1144064734 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAKISHA IRBY Administrator 803-402-9566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 385H00000X Respite Care | |
| Enumeration Date | 2024-06-19 |
| Last Update Date | 2024-06-19 |