| NPI | 1275127482 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GENITRA W ANDREWS-HYPOLITE Owner 803-351-2587 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home |
| Enumeration Date | 2021-02-28 |
| Last Update Date | 2021-02-28 |