| NPI | 1477415412 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EBONY FERGUSON Owner 843-812-2899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2025-11-28 |
| Last Update Date | 2025-11-28 |