NPI | 1356870794 |
---|---|
Entity Type | Organization |
Authorized Contact | NATALIE LEE Principle 803-997-2656 |
Organization Subpart ? | No |
Primary Taxonomy | 253Z00000X In Home Supportive Care |
Additional Taxonomies | 385H00000X Respite Care |
385HR2055X Respite Care, Respite Care, Mental Illness, Child | |
385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
385HR2065X Respite Care, Respite Care, Physical Disabilities, Child | |
Enumeration Date | 2017-06-08 |
Last Update Date | 2022-07-21 |