| NPI | 1679351621 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENISHA MOLE Owner 843-862-2475 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251B00000X Case Management |
| 251E00000X Home Health | |
| 251J00000X Nursing Care | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2023-09-20 |
| Last Update Date | 2023-09-20 |