| NPI | 1710541867 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEYATTA SHARDAI BIGSBY Owner 864-529-4250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251T00000X PACE Provider Organization |
| 385H00000X Respite Care | |
| Enumeration Date | 2019-04-24 |
| Last Update Date | 2022-12-06 |