| NPI | 1336467083 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REATHA JOHNSON Don 803-865-8113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: SC 20102927728429) |
| Additional Taxonomies | 251J00000X Nursing Care |
| Enumeration Date | 2010-05-05 |
| Last Update Date | 2022-09-21 |