| NPI | 1558012260 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYLES KNOX Director 803-915-5400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 251E00000X Home Health |
| 251K00000X Public Health or Welfare | |
| 251S00000X | |
| 252Y00000X Early Intervention Provider Agency | |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2022-01-13 |
| Last Update Date | 2022-01-13 |