| NPI | 1386492486 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAMBREKA EADDY Lpn 843-758-2454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2024-05-13 |
| Last Update Date | 2025-07-24 |