| NPI | 1336921675 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEISHA DENISE ADAMS Owner 803-324-7465 |
| Organization Subpart ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant |
| 225100000X Physical Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2023-10-20 |
| Last Update Date | 2023-10-20 |