| NPI | 1194334029 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY JOHNSON Owner 803-708-2440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 385H00000X Respite Care | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2020-07-27 |
| Last Update Date | 2025-09-02 |