| NPI | 1245061043 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VENITA GOODWIN Owner 803-315-1064 |
| Organization Subpart ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 376J00000X Homemaker | |
| 376K00000X Nurse's Aide | |
| Enumeration Date | 2024-08-12 |
| Last Update Date | 2024-08-12 |