| NPI | 1144577990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRAVIS R. DOGAN Owner 864-200-2796 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: SC 253Z00000X) |
| Enumeration Date | 2012-08-11 |
| Last Update Date | 2015-05-19 |