| NPI | 1205344918 |
|---|---|
| Former Legal Business Name | N/A |
| Entity Type | Organization |
| Authorized Contact | CHERRELLE L FERGUSON Owner 864-436-3256 |
| Organization Subpart ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Enumeration Date | 2018-01-16 |
| Last Update Date | 2018-01-16 |