| NPI | 1437861242 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODIE A JONES Owner 803-682-3570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 163W00000X Registered Nurse |
| 251J00000X Nursing Care | |
| 253Z00000X In Home Supportive Care | |
| 261Q00000X Clinic/Center | |
| 261QH0100X Clinic/Center, Health Services | |
| 261QI0500X Clinic/Center, Infusion Therapy | |
| 332900000X Non-Pharmacy Dispensing Site | |
| 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy | |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2022-12-23 |
| Last Update Date | 2023-01-19 |