| NPI | 1609187145 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA NICKENS MCBRIDE Manager 803-316-3880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2010-06-30 |
| Last Update Date | 2021-10-11 |