| NPI | 1376376160 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENYA JATUN LOMAX-SIMS Owner 864-787-2009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171W00000X Contractor |
| Additional Taxonomies | 174200000X Meals |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2024-08-26 |
| Last Update Date | 2024-08-26 |