NPI | 1245684521 |
---|---|
Entity Type | Organization |
Authorized Contact | PRINSCILLIA DENISE SUMPTER Certified Nurse Assistant 843-518-7238 |
Organization Subpart ? | No |
Primary Taxonomy | 305S00000X Point of Service (Licence: SC 116708) |
Enumeration Date | 2016-04-22 |
Last Update Date | 2016-04-22 |