| NPI | 1578458469 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACIE BLUE Administrator 864-979-0846 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251B00000X Case Management |
| 251J00000X Nursing Care | |
| 253Z00000X In Home Supportive Care | |
| 261QH0100X Clinic/Center, Health Services | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2025-06-11 |
| Last Update Date | 2025-06-11 |