| NPI | 1295285153 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMELIA ANN BARBER Administratior 803-287-6801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: SC IHCP-0583) |
| Additional Taxonomies | 251E00000X Home Health |
| 251J00000X Nursing Care | |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2016-10-04 |
| Last Update Date | 2022-12-13 |