| 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 |