| NPI | 1518731694 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCIA WILLIAMS Director 803-216-5053 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center Community Health |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2023-11-09 |
| Last Update Date | 2023-11-09 |