| NPI | 1639548266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER CLARICE WHITAKER HOLLEY Administrator 803-318-7737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: SC 4189441040) |
| Enumeration Date | 2015-09-24 |
| Last Update Date | 2015-09-24 |