| NPI | 1639062797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOMONIQUE W BASS Owner 803-888-6037 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385HR2065X Respite Care Respite Care, Physical Disabilities, Child |
| Additional Taxonomies | 251E00000X Home Health |
| 385H00000X Respite Care | |
| Enumeration Date | 2025-05-29 |
| Last Update Date | 2025-05-29 |