| NPI | 1245679612 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNETTA BROWN Community Health Worker /Medical As 843-240-4815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 347C00000X Private Vehicle |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: SC 1111111) |
| 332U00000X Home Delivered Meals | |
| Enumeration Date | 2013-06-19 |
| Last Update Date | 2013-06-19 |