| NPI | 1407310956 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PORTERESHICE SHUNTA BRABHAM Owner 803-686-0632 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2019-01-29 |
| Last Update Date | 2019-01-29 |