NPI | 1184451064 |
---|---|
Entity Type | Organization |
Authorized Contact | IVEY THOMPSON CEO 843-672-4019 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility |
Additional Taxonomies | 251J00000X Nursing Care |
261QM1300X Clinic/Center Multi-Specialty | |
261QM2500X Clinic/Center Medical Specialty | |
261QP2300X Clinic/Center Primary Care | |
363L00000X Nurse Practitioner | |
Enumeration Date | 2024-09-16 |
Last Update Date | 2024-09-16 |