| NPI | 1316473879 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GOKUL GONDI Medical Director 843-797-3636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251F00000X Home Infusion |
| Additional Taxonomies | 163WI0500X Registered Nurse Infusion Therapy |
| Enumeration Date | 2017-05-03 |
| Last Update Date | 2021-03-02 |