| NPI | 1477101301 |
|---|---|
| Former Legal Business Name | BEACHSIDE HOME SERVICE |
| Entity Type | Organization |
| Authorized Contact | AMY ARTIS President 843-508-8115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251E00000X Home Health |
| 251J00000X Nursing Care | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2019-09-04 |
| Last Update Date | 2019-09-04 |