| NPI | 1386095164 |
|---|---|
| Doing Business As | MACK'S SENIOR LOVING CARE |
| Entity Type | Organization |
| Authorized Contact | NIKITA SMITH MACK Health Care Administrator 803-250-7396 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: SC 2016-51567-50461) |
| Enumeration Date | 2016-06-23 |
| Last Update Date | 2016-06-23 |