| NPI | 1144847070 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY DEAS SMALLS Owner/ Office Admi 843-751-7158 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 174200000X Meals |
| 251B00000X Case Management | |
| 251G00000X Hospice Care, Community Based | |
| 251K00000X Public Health or Welfare | |
| 251V00000X Voluntary or Charitable | |
| 253Z00000X In Home Supportive Care | |
| 261QA0600X Clinic/Center, Adult Day Care | |
| 261QC1500X Clinic/Center, Community Health | |
| 261QE0002X Clinic/Center, Emergency Care | |
| 261QH0100X Clinic/Center, Health Services | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 261QM2500X Clinic/Center, Medical Specialty | |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2020-06-26 |
| Last Update Date | 2020-06-26 |