| NPI | 1710537501 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AQUANETTA LASHONDA NESBITT Owner 843-598-5470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2019-09-13 |
| Last Update Date | 2020-06-23 |