| NPI | 1295543452 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHSHIQUE TIERRA PROPHET Owner 864-426-7116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 376K00000X Nurse's Aide |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 372600000X Adult Companion | |
| 3747A0650X Technician, Attendant Care Provider | |
| 376J00000X Homemaker | |
| Enumeration Date | 2024-12-20 |
| Last Update Date | 2024-12-20 |