NPI | 1578687604 |
---|---|
Entity Type | Organization |
Authorized Contact | LYDELL GRAY CEO 864-834-4848 |
Organization Subpart ? | No |
Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: SC 006848) |
Additional Taxonomies | 253Z00000X In Home Supportive Care |
Enumeration Date | 2007-03-16 |
Last Update Date | 2023-08-28 |