| NPI | 1366058240 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARANDA ALICIA CRIBB Ot 843-845-7243 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2020-09-16 |
| Last Update Date | 2020-09-16 |