| NPI | 1316897564 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TYTIANNAI VICKERS Owner 843-618-4629 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2026-01-29 |
| Last Update Date | 2026-02-01 |