NPI | 1407041924 |
---|---|
Entity Type | Organization |
Authorized Contact | ALVERNEQ HATTAE SIMPKINS Co Administrator 803-279-7822 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: SC 11010) |
Enumeration Date | 2007-09-07 |
Last Update Date | 2007-09-07 |