| NPI | 1699536722 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASMINE D BROWN Owner 803-849-9803 |
| Organization Subpart ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2024-01-16 |
| Last Update Date | 2024-04-26 |