| NPI | 1689414765 |
|---|---|
| Former Legal Business Name | MARTIN'S PLACE ASSISTED |
| Entity Type | Organization |
| Authorized Contact | LATOYA ALISHA COLLYMORE Caregiver 803-825-0024 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child |
| Enumeration Date | 2024-05-28 |
| Last Update Date | 2024-05-28 |