| NPI | 1649971789 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEA THACH Owner 803-547-1866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251T00000X Program of All-Inclusive Care for the Elderly (PACE) Provider Organization |
| 385H00000X Respite Care | |
| Enumeration Date | 2023-03-15 |
| Last Update Date | 2023-03-20 |