| NPI | 1245002039 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA C STANLEY Owner 843-585-0435 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Additional Taxonomies | 251X00000X Supports Brokerage |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2023-10-25 |
| Last Update Date | 2024-04-02 |