| NPI | 1144679234 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY BRIAN PRIDEMORE VP Of Operations 843-771-0292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: SC IHCP-0024) |
| Enumeration Date | 2016-06-09 |
| Last Update Date | 2016-06-09 |