| NPI | 1336573526 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBALE LANETTE MACK Owner/Operator 803-479-6297 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2013-08-25 |
| Last Update Date | 2020-10-06 |