| NPI | 1255842621 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIRANDA DANIELLE CHALK Owner 864-804-3002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: SC IHCP-0717) |
| Additional Taxonomies | 385H00000X Respite Care (Licence: SC IHCP-0717) |
| Enumeration Date | 2017-10-12 |
| Last Update Date | 2022-11-23 |