| NPI | 1447871298 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONTAGO MAURICE WRIGHT Administrator 864-351-9647 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 174200000X Meals |
| 251S00000X | |
| 253Z00000X In Home Supportive Care | |
| 261QA0600X Clinic/Center, Adult Day Care | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2020-05-04 |
| Last Update Date | 2020-05-04 |