| NPI | 1629356290 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAKENYA NATORI GALLMAN Owner/Director 864-421-6894 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251E00000X Home Health |
| 311ZA0620X Custodial Care Facility, Adult Care Home | |
| Enumeration Date | 2011-07-29 |
| Last Update Date | 2020-11-25 |