| NPI | 1710708599 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLTON BROOKS SHEALY Manager 803-257-0894 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251B00000X Case Management |
| 251J00000X Nursing Care | |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2024-10-23 |
| Last Update Date | 2024-10-28 |