| NPI | 1477996478 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA WHITE MYERS CEO 803-943-5062 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization |
| Additional Taxonomies | 171W00000X Contractor |
| 251K00000X Public Health or Welfare | |
| 253Z00000X In Home Supportive Care | |
| 302R00000X Health Maintenance Organization | |
| 305S00000X Point of Service | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2013-04-10 |
| Last Update Date | 2013-05-08 |