| NPI | 1407397821 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISHA CLEONADA DAVIS Owner/Caregiver 803-616-5324 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child |
| Enumeration Date | 2017-03-17 |
| Last Update Date | 2017-03-17 |