| NPI | 1346566205 |
|---|---|
| Other Name | MYRTLE BEACH OFFICE |
| Entity Type | Organization |
| Authorized Contact | D DELORES LOGAN President 803-951-0771 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2010-04-15 |
| Last Update Date | 2010-04-15 |