| NPI | 1417692526 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARITA L DOZIER Organizer 803-730-5930 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2022-05-03 |
| Last Update Date | 2023-01-05 |