| NPI | 1346030954 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEYSHAUN PERNAIL DAVIS Owner 803-521-4761 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 332U00000X Home Delivered Meals | |
| Enumeration Date | 2025-05-07 |
| Last Update Date | 2025-05-07 |