| NPI | 1457069676 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LA'QUANDRA RAMPERSANT Owner/Administrator 843-367-5782 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Enumeration Date | 2022-11-07 |
| Last Update Date | 2022-11-07 |