| NPI | 1174296131 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL BRYANT Director 843-908-9796 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251J00000X Nursing Care |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2021-07-27 |
| Last Update Date | 2021-07-27 |