| NPI | 1427178565 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAKENYA NATORI GALLMAN Owner 864-268-6100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: SC 07-24378) |
| Additional Taxonomies | 347C00000X Private Vehicle (Licence: SC 07-24378) |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2020-08-22 |